Oneill, Timothy R
Oneill, Timothy R is an individual health care provider with primary practice located at 5701 Bow Pointe Dr Suite 100, Clarkston MI 48346-3199. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Oneill, Timothy R can be contacted via phone (248) 625-2621.Contact Information
Primary practice address
5701 Bow Pointe Dr Suite 100
Clarkston MI 48346-3199
Phone: (248) 625-2621
Fax: (248) 625-2622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | TO020249 | Michigan |
Profile Details
| NPI number | 1033117890 |
|---|---|
| LBN Legal business name | Oneill, Timothy R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Feb 25th, 2020 - about 5 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 | 1033117890 | NPPES |
| Michigan | Other | P01235913 | RAILROAD MEDICARE IND PIN |
| Michigan | MEDICAID | 1033117890 | RAILROAD MEDICARE IND PIN |
| Michigan | Other | P00943552 | RAILROAD MEDICARE IND PIN |
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