O'Neill, Jennifer

O'Neill, Jennifer is an individual health care provider with primary practice located at 13555 W Mcdowell Rd Ste 206 , Goodyear AZ 85395-2626. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. O'Neill, Jennifer can be contacted via phone (623) 487-4822.

Contact Information

Primary practice address
13555 W Mcdowell Rd Ste 206 Goodyear AZ 85395-2626
Phone: (623) 487-4822
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 33230 Arizona

Profile Details

NPI number 1730171760
LBN Legal business name O'Neill, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Aug 11th, 2022 - about 2 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 1730171760 NPPES
Arizona MEDICAID 881773

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