O'Neill, Brendan

O'Neill, Brendan is an individual health care provider with primary practice located at 1490 N Turquoise Dr , Flagstaff AZ 86001-1383. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. O'Neill, Brendan can be contacted via phone (928) 774-5074.

Contact Information

Primary practice address
1490 N Turquoise Dr Flagstaff AZ 86001-1383
Phone: (928) 774-5074
Fax: (928) 779-0884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 50202 Colorado
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 49416 Arizona
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 49416 Arizona
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD450182 Pennsylvania
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 49416 Arizona

Profile Details

NPI number 1013170695
LBN Legal business name O'Neill, Brendan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2008
Last updated Dec 22nd, 2021 - about 5 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 1013170695 NPPES
Arizona MEDICAID 920324

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