1821185547 NPI number — DR. FRANK THOMAS O'NEILL D.C.

Table of content: MS. ELAINE DORNEY PT (NPI 1912150178)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821185547 NPI number — DR. FRANK THOMAS O'NEILL D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
O'NEILL
Provider First Name:
FRANK
Provider Middle Name:
THOMAS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821185547
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2212 AVERY RD E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELLEVUE
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68005-4643
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-934-1622
Provider Business Mailing Address Fax Number:
402-934-1624

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2212 AVERY RD E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68005-4643
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-934-1622
Provider Business Practice Location Address Fax Number:
402-934-1624
Provider Enumeration Date:
10/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  1307 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1257840 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 236863 . This is a "MIDLANDS CHOICE PROVIDER" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 272749 . This is a "COVENTRY PROVIDER NUMBER" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 09601 . This is a "BCBS OF NE ID NUMBER" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 658123 . This is a "UHC PROVIDER NUMBER" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 10025355800 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4401298 . This is a "SHARE ADVANTAGE NUMBER" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".




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