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Individual
DR. JOHN J OBRIEN
Active
Individual
DR. JOHN J OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0066141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10021222
CDPHP
NY
01
—
607980
MPN
NY
01
—
98L1915
MVP
NY
01
—
C066144
WORKERS COMPENSATION
NY
01
—
X54101
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/11/2006
Last updated
08/24/2009
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