O'Neil, Jerome H

O'Neil, Jerome H is an individual health care provider with primary practice located at 6526 Lansdowne Ave , Saint Louis MO 63109-2654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. O'Neil, Jerome H can be contacted via phone (314) 353-8777.

Contact Information

Primary practice address
6526 Lansdowne Ave Saint Louis MO 63109-2654
Fax: (314) 353-8772
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R5E53 Missouri

Profile Details

NPI number 1982675641
LBN Legal business name O'Neil, Jerome H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated May 9th, 2024 - about 7 months 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 1982675641 NPPES
Missouri MEDICAID 200057611

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