O'Neill, Brendan
O'Neill, Brendan is an individual health care provider with primary practice located at 1490 N Turquoise Dr , Flagstaff AZ 86001-1383. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. O'Neill, Brendan can be contacted via phone (928) 774-5074.Contact Information
Primary practice address
1490 N Turquoise Dr
Flagstaff AZ 86001-1383
Phone: (928) 774-5074
Fax: (928) 779-0884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 50202 | Colorado |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 49416 | Arizona |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 49416 | Arizona |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD450182 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 49416 | Arizona |
Profile Details
| NPI number | 1013170695 |
|---|---|
| LBN Legal business name | O'Neill, Brendan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2008 |
| Last updated | Dec 22nd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013170695 | NPPES |
| Arizona | MEDICAID | 920324 |
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