O'Neill, Paul

O'Neill, Paul is an individual health care provider with primary practice located at N14W23900 Stone Ridge Dr Prohealth Care Medical Assoicates Inc., Waukesha WI 53188-1135. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. O'Neill, Paul can be contacted via phone (262) 549-3030.

Contact Information

Primary practice address
N14W23900 Stone Ridge Dr Prohealth Care Medical Assoicates Inc. Waukesha WI 53188-1135
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33540 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33540 Wisconsin

Profile Details

NPI number 1821062225
LBN Legal business name O'Neill, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Apr 24th, 2012 - about 12 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 1821062225 NPPES
Wisconsin MEDICAID 31842000

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