Dr Edmund Anthony O'connor Jr, LP is a
Psychologist - Clinical based in East Grand Rapids, Michigan. Dr Edmund Anthony O'connor Jr is licensed to practice in Michigan (license number 6301011402) and his current practice location is
1438 Eastlawn Rd Se, East Grand Rapids, Michigan. He can be reached at his office (for appointments etc.) via phone at
(616) 328-3686.
NPI number for Dr Edmund Anthony O'connor Jr is 1700957081 and his current mailing address is 1438 Eastlawn Rd Se, East Grand Rapids, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700957081.
Healthcare Provider's Profile
Full Name | Dr Edmund Anthony O'connor Jr |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 1438 Eastlawn Rd Se, East Grand Rapids, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700957081
- Provider Enumeration Date: 11/10/2006
- Last Update Date: 09/23/2020
Medical Identifiers
Medical identifiers for Dr Edmund Anthony O'connor Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700957081 | NPI | - | NPPES |
1700957081 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 6301011402 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edmund Anthony O'connor Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Edmund Anthony O'connor Jr, LP 1438 Eastlawn Rd Se, East Grand Rapids, MI 49506-4108 Ph: (616) 328-3686 | Dr Edmund Anthony O'connor Jr, LP 1438 Eastlawn Rd Se, East Grand Rapids, MI 49506-4108 Ph: (616) 328-3686 |
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