Provider Demographics
NPI:1538224621
Name:O'NEIL, DONALD WAYNE JR (DC)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:WAYNE
Last Name:O'NEIL
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:13775 NC HIGHWAY 50
Mailing Address - Street 2:STE 105
Mailing Address - City:SURF CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28445-6967
Mailing Address - Country:US
Mailing Address - Phone:910-329-0011
Mailing Address - Fax:910-329-0089
Practice Address - Street 1:13775 NC HIGHWAY 50
Practice Address - Street 2:STE 105
Practice Address - City:SURF CITY
Practice Address - State:NC
Practice Address - Zip Code:28445-6967
Practice Address - Country:US
Practice Address - Phone:910-329-0011
Practice Address - Fax:910-329-0089
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC3266111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC085UKOtherBCBSNC
NC89085UKMedicaid
NC89085UKMedicaid
NC085UKOtherBCBSNC