Provider Demographics
NPI:1760738983
Name:O'NEILL, CIAN RORY (DC, BA)
Entity Type:Individual
Prefix:DR
First Name:CIAN
Middle Name:RORY
Last Name:O'NEILL
Suffix:
Gender:M
Credentials:DC, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 COUNTRY HILL LN NE # 2
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-8312
Mailing Address - Country:US
Mailing Address - Phone:978-852-0351
Mailing Address - Fax:
Practice Address - Street 1:1350 BLAIRS FERRY RD
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233-1949
Practice Address - Country:US
Practice Address - Phone:843-873-0081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007598111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor