Basic Information
Provider Information
NPI: 1427461342
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: O'CONNELL
FirstName: HELEN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2221 HAYES AVE
Address2:  
City: FREMONT
State: OH
PostalCode: 434202632
CountryCode: US
TelephoneNumber: 4193348943
FaxNumber:  
Practice Location
Address1: 605 3RD AVE STE F
Address2:  
City: FREMONT
State: OH
PostalCode: 434203269
CountryCode: US
TelephoneNumber: 4193348943
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/09/2014
LastUpdateDate: 07/28/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/28/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X35.133547OHY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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