O'Neill, Braeden
O'Neill, Braeden is an sole proprietor health care provider with primary practice located at 3200 Pleasant Valley Rd , West Bend WI 53095-9274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. O'Neill, Braeden can be contacted via phone (262) 836-7300.Contact Information
Primary practice address
3200 Pleasant Valley Rd
West Bend WI 53095-9274
Phone: (262) 836-7300
Fax: (262) 836-7301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 71639 | Wisconsin |
Profile Details
| NPI number | 1164955209 |
|---|---|
| LBN Legal business name | O'Neill, Braeden |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2017 |
| Last updated | Apr 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164955209 | NPPES |
| Wisconsin | MEDICAID | 1164955209 |
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