O'Neill, Brian Frederick

O'Neill, Brian Frederick is an sole proprietor health care provider with primary practice located at 1212 N Park Ave , Pomona CA 91768-3029. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. O'Neill, Brian Frederick can be contacted via phone (909) 622-4501.

Contact Information

Primary practice address
1212 N Park Ave Pomona CA 91768-3029
Phone: (909) 622-4501
Fax: (909) 632-1729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E3029 California

Profile Details

NPI number 1215945647
LBN Legal business name O'Neill, Brian Frederick
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Nov 22nd, 2016 - about 10 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 1215945647 NPPES
California MEDICAID 000E302900

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