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
Phone: (904) 386-3359
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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