O'Neill, John Grey

O'Neill, John Grey is an sole proprietor health care provider with primary practice located at 12404 Hatton Chase Ln W , Jacksonville FL 32258. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. O'Neill, John Grey can be contacted via phone (904) 386-3359.

Contact Information

Primary practice address
12404 Hatton Chase Ln W Jacksonville FL 32258
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME87833 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME87833 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C55278 California

Profile Details

NPI number 1831155381
LBN Legal business name O'Neill, John Grey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Aug 23rd, 2018 - 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 1831155381 NPPES
California Other CB281166 MEDICARE CA
California MEDICAID 267254500 MEDICARE CA
California Other CA282270 MEDICARE CA
California Other P01893755 MEDICARE CA
California Other CA266418 MEDICARE CA
California Other P01965489 MEDICARE CA
California Other 7726991 MEDICARE CA
California Other CA266394 MEDICARE CA

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