O'Neill, Alfonso V

O'Neill, Alfonso V is an sole proprietor health care provider with primary practice located at 25631 Little Mack Ave Ste 202 , Saint Clair Shores MI 48081-2108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. O'Neill, Alfonso V can be contacted via phone (586) 588-9813.

Contact Information

Primary practice address
25631 Little Mack Ave Ste 202 Saint Clair Shores MI 48081-2108
Phone: (586) 588-9813
Fax: (586) 588-9814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X AO043730 Michigan

Profile Details

NPI number 1922054832
LBN Legal business name O'Neill, Alfonso V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Jul 12th, 2019 - about 6 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 1922054832 NPPES
Michigan MEDICAID 193361310

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