1669166203 NPI number — MRS. CATHERINE ANNE ONEIL PHD, DOULA

Table of content: MRS. CATHERINE ANNE ONEIL PHD, DOULA (NPI 1669166203)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669166203 NPI number — MRS. CATHERINE ANNE ONEIL PHD, DOULA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ONEIL
Provider First Name:
CATHERINE
Provider Middle Name:
ANNE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PHD, DOULA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ONEIL
Provider Other First Name:
CATHERINE
Provider Other Middle Name:
A
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
KATIE
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1669166203
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/06/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
403 W OLIVER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OWOSSO
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48867-2251
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
989-666-7440
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
111 E MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OWOSSO
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48867-3132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-472-3856
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/06/2023

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: 374J00000X , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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