O'Neill, George W

O'Neill, George W is an individual health care provider with primary practice located at 1401 13Th Ave E , West Fargo ND 58078-3468. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. O'Neill, George W can be contacted via phone (701) 364-0060.

Contact Information

Primary practice address
1401 13Th Ave E West Fargo ND 58078-3468
Phone: (701) 364-0060
Fax: (701) 364-0065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 96 North Dakota

Profile Details

NPI number 1194795369
LBN Legal business name O'Neill, George W
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jan 29th, 2008 - about 17 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 1194795369 NPPES
North Dakota Other 21783 BLUECROSS/SHIELD-NO DAK
North Dakota MEDICAID 16974 BLUECROSS/SHIELD-NO DAK
North Dakota Other 61-77285 BLUECROSS/SHIELD-NO DAK
North Dakota Other 284S8ON BLUECROSS/SHIELD-NO DAK
North Dakota Other 475441026989 BLUECROSS/SHIELD-NO DAK
North Dakota Other HP22980 BLUECROSS/SHIELD-NO DAK

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