Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1327 | SC |
N | 111NS0005X | Chiropractic Sports Physician | 1327 | SC |
NPI | 1144243171 |
---|---|
Provider Name | Dr. Patrick Murrman O'neill |
First Address | N. Charleston, SC 29418 |
Second Address | N. Charleston, SC 29418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 17/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CH1327 | (02) | SC |
CH1327 | (05) | SC |
GCH216 | (05) | SC |
U11704 | (02) | SC |
U117047954 | (02) | SC |