Individual
MR. BEN BONNIE O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6809 MAYFIELD RD, 952, MAYFIELD HTS, OH 44124-2266
(440) 442-0743
(440) 442-0905
Mailing address
6809 MAYFIELD RD, 952, MAYFIELD HTS, OH 44124-2266
(440) 442-0743
(440) 442-0905
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN108513
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IP#2432424
—
OH
Enumeration date
09/25/2006
Last updated
07/09/2007
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