Oneill, Laurie Ann

Oneill, Laurie Ann is an individual health care provider with primary practice located at 320 South Kitsap Blvd , Port Orchard WA 98366. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Oneill, Laurie Ann can be contacted via phone (360) 876-7215.

Contact Information

Primary practice address
320 South Kitsap Blvd Port Orchard WA 98366
Phone: (360) 876-7215
Fax: (360) 876-6721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101231163 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00038319 Washington

Profile Details

NPI number 1720053093
LBN Legal business name Oneill, Laurie Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Nov 26th, 2008 - about 18 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 1720053093 NPPES
Virginia MEDICAID 005626935

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