O'Neal, Timothy R

O'Neal, Timothy R is an sole proprietor health care provider with primary practice located at 2 W Fern Ave , Redlands CA 92373-5916. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. O'Neal, Timothy R can be contacted via phone (909) 793-3311.

Contact Information

Primary practice address
2 W Fern Ave Redlands CA 92373-5916
Phone: (909) 793-3311
Fax: (909) 796-4158
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G27224 California
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X G27224 California

Profile Details

NPI number 1497794119
LBN Legal business name O'Neal, Timothy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Nov 16th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497794119 NPPES
California MEDICAID 00G272240

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