Organization
JOHN J. O'CONNOR CPO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA O'CONNOR (V-PRESIDENT)
(336) 724-6871
Entity
Organization
Contact information
Practice address
900 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4417
(336) 724-6871
(336) 724-6871
Mailing address
900 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4417
(336) 724-6871
(336) 724-6871
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0495B
BLUE CROSS BLUE SHIELD
NC
05
—
7700250
—
NC
Enumeration date
02/04/2008
Last updated
02/04/2008
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