O'Neil, Breanna M
O'Neil, Breanna M is an individual health care provider with primary practice located at 5000 Memorial Dr , Two Rivers WI 54241-3900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. O'Neil, Breanna M can be contacted via phone (920) 794-5000.Contact Information
Primary practice address
5000 Memorial Dr
Two Rivers WI 54241-3900
Phone: (920) 794-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 77378 | Wisconsin |
Profile Details
| NPI number | 1407384043 |
|---|---|
| LBN Legal business name | O'Neil, Breanna M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2017 |
| Last updated | May 19th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407384043 | NPPES |
| Wisconsin | MEDICAID | 100212240 |
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