O'Neill, Michael B

O'Neill, Michael B is an individual health care provider with primary practice located at 328 Sparta Ave , Sparta NJ 07871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. O'Neill, Michael B can be contacted via phone (973) 729-2197.

Contact Information

Primary practice address
328 Sparta Ave Sparta NJ 07871
Phone: (973) 729-2197
Fax: (973) 729-5653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA029820 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD044367L Pennsylvania

Profile Details

NPI number 1477510782
LBN Legal business name O'Neill, Michael B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1477510782 NPPES
New Jersey MEDICAID 1237209

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