O'Neal, Susan M.

O'Neal, Susan M. is an individual health care provider with primary practice located at 701 N 1St St , Springfield IL 62781. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. O'Neal, Susan M. can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
701 N 1St St Springfield IL 62781
Phone: (217) 528-7541
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036075503 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036-075503 Illinois

Profile Details

NPI number 1003916784
LBN Legal business name O'Neal, Susan M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Sep 25th, 2013 - about 11 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 1003916784 NPPES
Illinois MEDICAID 036075503

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