O'Neal, Dorothy Theresa

O'Neal, Dorothy Theresa is an sole proprietor health care provider with primary practice located at 1025 N Country Club Dr , Mesa AZ 85201-3307. She recently has only one registered license in Nursing Service Providers / Occupational Health, which is considered as her primary health care specialty. O'Neal, Dorothy Theresa can be contacted via phone (480) 472-0562.

Contact Information

Primary practice address
1025 N Country Club Dr Mesa AZ 85201-3307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Occupational Health 163WX0106X RN046678 Arizona

Profile Details

NPI number 1265659445
LBN Legal business name O'Neal, Dorothy Theresa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Jul 8th, 2007 - 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 1265659445 NPPES
Arizona MEDICAID 580333

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