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JERRY W O'NEAL NPI 1679712137


NPI Information

NPI: 1679712137
Provider Name: JERRY W O'NEAL
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Individual
Address:
40 LANNEAU DR
SUITE 2A, 1990 AUGUSTA STREET
GREENVILLE, SC
ZIP 29605
Phone: (864) 232-3307
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Jerry W O'neal is a prosthetic orthotic supplier in Greenville, SC. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. Jerry W O'neal NPI is 1679712137. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

40 LANNEAU DR
SUITE 2A, 1990 AUGUSTA STREET
GREENVILLE, SC
ZIP 29605-708
Phone: (864) 232-3307
Fax: (864) 232-3308

The enumeration date for this NPI number is 2/6/2009 and was last updated on 4/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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