O'Neil, Bruce H

O'Neil, Bruce H is an individual health care provider with primary practice located at 2700 International Blvd Ste 35, Oakland CA 94601-1520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. O'Neil, Bruce H can be contacted via phone (510) 532-2500.

Contact Information

Primary practice address
2700 International Blvd Ste 35 Oakland CA 94601-1520
Fax: (510) 532-9041
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A23100 California

Profile Details

NPI number 1255399580
LBN Legal business name O'Neil, Bruce H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jan 5th, 2012 - about 14 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 1255399580 NPPES
Other 942302155 FEDERAL TAX ID #
MEDICAID 00A231000 FEDERAL TAX ID #

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