O'Neill, Edward Joseph

O'Neill, Edward Joseph is an sole proprietor health care provider with primary practice located at 16517 Vanderbilt Dr Suite 1, Bonita Springs FL 34134-7550. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. O'Neill, Edward Joseph can be contacted via phone (239) 992-5311.

Contact Information

Primary practice address
16517 Vanderbilt Dr Suite 1 Bonita Springs FL 34134-7550
Fax: (239) 947-6338
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH7310 Florida

Profile Details

NPI number 1376536896
LBN Legal business name O'Neill, Edward Joseph
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Nov 21st, 2011 - about 15 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 1376536896 NPPES
Florida MEDICAID 381303700

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