Brian E. O'shaughnessy
Neurologist
152 W Dale St
Waterloo
, Iowa 50703-1925
Brian E. O'shaughnessy
Neurologist
152 W Dale St
Waterloo
, Iowa 50703-1925
(319) 235-5061
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Brian E. O'shaughnessy
- 152 W Dale St
- Waterloo, IA
- Zip : 50703-1925
- Fax : (319) 235-5061
- Phone : (319) 235-5060
Second Address
- Brian E. O'shaughnessy
- 152 W Dale St
- Waterloo, IA
- Zip : 50703-1925
- Fax : (319) 235-5061
- Phone : (319) 235-5060
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 036-066709 | IL |
National Provider Identifier
| NPI | 1023021151 |
|---|---|
| Provider Name | Brian E. O'shaughnessy |
| First Address | Waterloo, IA 50703-1925 |
| Second Address | Waterloo, IA 50703-1925 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2006 |
| Last Update Date | 24/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036066709 | (05) | IL |
| C37502 | (02) | |
| L53561 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.