Oneill, Leslie Shannon

Oneill, Leslie Shannon is an sole proprietor health care provider with primary practice located at 318 West Pike Street Suite 104, Lawrenceville GA 30045. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Oneill, Leslie Shannon can be contacted via phone (678) 377-2833.

Contact Information

Primary practice address
318 West Pike Street Suite 104 Lawrenceville GA 30045
Fax:
Website:

Health care specialties

Profile Details

NPI number 1306912803
LBN Legal business name Oneill, Leslie Shannon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2006
Last updated Jul 9th, 2007 - about 18 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 1306912803 NPPES
Georgia Other 10037601 AMERIGROUP- AAKTS
Georgia Other 307923 AMERIGROUP- AAKTS
Georgia MEDICAID 00838362A AMERIGROUP- AAKTS

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