Doctor Name: | DR. EDWARD JOSEPH O'NEILL |
NPI Number: | 1376536896 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | CH7310 |
Business Practice Address: | 16517 Vanderbilt Dr Suite 1 Bonita Springs, FL - 341347550 |
Business Phone Number: | 2399925311 |
Business Fax Number: | 2399476338 |
Mailing Address: | 16517 Vanderbilt Dr, Suite 1 BONITA SPRINGS |
State: | FL |
Postal Code: | 341347550 |
Phone Number: | 2399925311 |
Fax Number: | 2399476338 |
NPI Enumeration Date: | 08/30/2005 |
NPI Last Update Date: | 11/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 04/05/2006 |
NPI Reactivation Date: | 04/11/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH7310 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |