George W O'Neill in West Fargo - Clinical

George W O'Neill - NPI 1194795369

George W O'Neill is a Clinical in West Fargo, North Dakota. George W O'Neill practices all healthcare services and medical treatments related to Clinical. The NPI Number for George W O'Neill is 1194795369. The last update date is 2008-01-29.

George W O'Neill's current location address is 1401 13th Ave E, West Fargo, North Dakota. You can contact this provider via phone number 7013640060 and fax number 7013640065. The mailing address for George W O'Neill is 1401 13th Ave E, West Fargo, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name George W O'Neill
Address 1401 13th Ave E, West Fargo, North Dakota
Phone Number 7013640060
Fax Number 7013640065
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1194795369
Provider Enumeration Date 2006-01-23
Last Updated Date 2008-01-29

Provider Mailing Address Detail

Address 1401 13th Ave E
City West Fargo
State North Dakota (ND)
Post Code 580783468
Phone Number 7013640060
Fax Number 7013640065

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 96
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
21783 ND BLUECROSS/SHIELD-NO DAK
16974 ND --
61-77285 MEDICA (UBH)
284S8ON MN BLUECROSS/SHIELD-MINNESOT
475441026989 PREFERRED ONE
HP22980 HEALTHPARTNERS

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FAQs about George W O'Neill

What is the unique provider identifier assigned to George W O'Neill?

The George W O'Neill has been issued the NPI (National Provider Identifier) 1194795369 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where George W O'Neill is physically located?

The George W O'Neill is situated at the following address: 1401 13Th Ave E, West Fargo, ND 580783468.

What is the George W O'Neill's area of specialization and corresponding taxonomy classification?

The George W O'Neill's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1194795369 to George W O'Neill?

The Centers for Medicare & Medicaid Services originally issued the 1194795369 to George W O'Neill on 2006-01-23.

When was the information pertaining to George W O'Neill most recently updated or revised?

The details related to George W O'Neill, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-29.

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