Provider Demographics
NPI:1629836622
Name:O'NEILL, BRITTNEY ALEXIS
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:ALEXIS
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14124 US HIGHWAY 127
Mailing Address - Street 2:
Mailing Address - City:WEST UNITY
Mailing Address - State:OH
Mailing Address - Zip Code:43570-9799
Mailing Address - Country:US
Mailing Address - Phone:419-551-5526
Mailing Address - Fax:
Practice Address - Street 1:701 BURR RD
Practice Address - Street 2:
Practice Address - City:WAUSEON
Practice Address - State:OH
Practice Address - Zip Code:43567-1678
Practice Address - Country:US
Practice Address - Phone:419-330-4037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health