Provider Demographics
NPI:1821185547
Name:O'NEILL, FRANK THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:THOMAS
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 1:2212 AVERY RD E
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-4643
Mailing Address - Country:US
Mailing Address - Phone:402-934-1622
Mailing Address - Fax:402-934-1624
Practice Address - Street 1:2212 AVERY RD E
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-4643
Practice Address - Country:US
Practice Address - Phone:402-934-1622
Practice Address - Fax:402-934-1624
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1307111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1257840Medicaid
NE236863OtherMIDLANDS CHOICE PROVIDER
NE272749OtherCOVENTRY PROVIDER NUMBER
NE09601OtherBCBS OF NE ID NUMBER
NE658123OtherUHC PROVIDER NUMBER
NE10025355800Medicaid
NE4401298OtherSHARE ADVANTAGE NUMBER
NE279964Medicare ID - Type UnspecifiedPERSONAL MEDICARE NUMBER
NE099809Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
NEU91217Medicare UPIN