Provider Demographics
NPI:1144243171
Name:O'NEILL, PATRICK MURRMAN (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:MURRMAN
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 1:3640-B ASHLEY PHOSPHATE RD.
Mailing Address - Street 2:
Mailing Address - City:N. CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29418
Mailing Address - Country:US
Mailing Address - Phone:843-225-5376
Mailing Address - Fax:843-225-0043
Practice Address - Street 1:3640-B ASHLEY PHOSPHATE RD.
Practice Address - Street 2:
Practice Address - City:N. CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418
Practice Address - Country:US
Practice Address - Phone:843-225-5376
Practice Address - Fax:843-225-0043
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1327111NS0005X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCH1327Medicaid
SCGCH216Medicaid
SCCH1327Medicaid
SCU11704Medicare UPIN
SC7954Medicare PIN
SCGCH216Medicaid