O'Neill, William J

O'Neill, William J is an individual health care provider with primary practice located at 1711 Davie Ave , Statesville NC 28677-3521. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. O'Neill, William J can be contacted via phone (704) 873-9797.

Contact Information

Primary practice address
1711 Davie Ave Statesville NC 28677-3521
Phone: (704) 873-9797
Fax: (704) 873-9794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 187 North Carolina

Profile Details

NPI number 1619971017
LBN Legal business name O'Neill, William J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Feb 16th, 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 1619971017 NPPES
North Carolina MEDICAID 8908129

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