Individual
MR. JACK ONEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00095
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06552
BCBS
LA
01
—
11655
BCBS
LA
01
—
1449819
UNITED HEALTH CARE
LA
01
—
32005900
ACS OWCP
LA
01
—
5716136
FIRST HEALTH
LA
01
—
684200
ACN
LA
01
—
720678856
OGB
LA
Enumeration date
04/23/2007
Last updated
02/17/2012
Update your record
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