Individual
DR. THOMAS DANIEL O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1617 LINCOLN WAY, COEUR D ALENE, ID 83814-2422
(208) 664-5000
(208) 667-8098
Mailing address
1617 LINCOLN WAY, COEUR D ALENE, ID 83814-2422
(208) 664-5000
(208) 667-8098
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C4694
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31546
REGENCE BLUE SHIELD OF ID
ID
01
—
C4694
BLUE CROSS OF IDAHO
ID
Enumeration date
02/23/2006
Last updated
07/08/2008
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