Provider Demographics
NPI:1285700310
Name:O'NEILL, BRIAN SCOTT (DC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:SCOTT
Last Name:O'NEILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 CLAREMONT AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-3010
Mailing Address - Country:US
Mailing Address - Phone:419-281-7246
Mailing Address - Fax:419-281-7331
Practice Address - Street 1:516 CLAREMONT AVE
Practice Address - Street 2:SUITE B
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-3010
Practice Address - Country:US
Practice Address - Phone:419-281-7246
Practice Address - Fax:419-281-7331
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2017-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2459111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2052826Medicaid
OH2052826Medicaid
OHON0842171Medicare ID - Type Unspecified