| O'neill Enterprises Ltd | |
|
2790 N Academy Blvd Ste 312 Colorado Springs CO 80917-5347 | |
| (719) 444-0250 | |
| (719) 444-0253 |
| Full Name | O'neill Enterprises Ltd |
|---|---|
| Speciality | Social Worker |
| Location | 2790 N Academy Blvd Ste 312, Colorado Springs, Colorado |
| Authorized Official Name and Position | Christopher O'neill (OWNER) |
| Authorized Official Contact | 9135582320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| O'neill Enterprises Ltd 4264 Red Desert Pl Colorado Springs CO 80923-9212 Ph: (913) 558-2320 | O'neill Enterprises Ltd 2790 N Academy Blvd Ste 312 Colorado Springs CO 80917-5347 Ph: (719) 444-0250 |
| NPI Number | 1649836149 |
|---|---|
| Provider Enumeration Date | 05/10/2019 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Medicare PECOS PAC ID | 7416286794 |
|---|---|
| Medicare Enrollment ID | O20190911003377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649836149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christopher O Neill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841746344 PECOS PAC ID: 8224367453 Enrollment ID: I20190912001906 |
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