Individual
NICHOLAS O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6715 N 300 W, LAFAYETTE, IN 47906-9635
(765) 427-4255
Mailing address
6715 N 300 W, LAFAYETTE, IN 47906-9635
(765) 427-4255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01032111
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232130
—
IN
Enumeration date
07/31/2006
Last updated
11/07/2024
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