O'Neal, Jerald Drew

O'Neal, Jerald Drew is an individual health care provider with primary practice located at 704 Thimble Shoals Blvd Building 700, Newport News VA 23606-4544. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. O'Neal, Jerald Drew can be contacted via phone (757) 873-2000.

Contact Information

Primary practice address
704 Thimble Shoals Blvd Building 700 Newport News VA 23606-4544
Phone: (757) 873-2000
Fax: (757) 873-2003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101034725 Virginia

Profile Details

NPI number 1114941002
LBN Legal business name O'Neal, Jerald Drew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Mar 7th, 2023 - about 2 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 1114941002 NPPES
Virginia Other 66033 OPTIMA
Virginia MEDICAID 5655862 OPTIMA
Virginia Other 0101034725 OPTIMA
Virginia Other 045456 OPTIMA
Virginia Other 080012050 OPTIMA
Virginia Other 045456 OPTIMA

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