Dr. Shane O'Neil, MD
Dermatology in Haverhill, Massachusetts
1942629795- Practice location
- 62 Brown St Ste 304C, Haverhill, MA 01830-6790
- Phone
- 978-691-5690
- Fax
- 978-216-4618
- Last updated
- November 5, 2021
Shane O'Neil is a Dermatology based in Haverhill, MA. Shane O'Neil practices in Haverhill, MA and has the professional credentials of MD. The NPI Number for Shane O'Neil is 1942629795 and holds a License No. 290513 (MA). The current practice location address for Shane O'Neil is 62 Brown St Ste 304C, Haverhill, MA 01830-6790 and can be reached out via phone at 978-691-5690 and via fax at 978-216-4618.
Provider Profile Details
- NPI Number
- 1942629795
- Provider Name
- Shane O'Neil
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 62 Brown St Ste 304C, Haverhill, MA 01830-6790
- Phone Number
- 978-691-5690
- Fax Number
- 978-216-4618
- Primary Taxonomy
- Dermatology · 207N00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 9, 2014
- Last Update Date
- November 5, 2021
- Certification Date
- November 5, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 62 Brown St Ste 304C
Haverhill, MA 01830-6790 - City
- Haverhill
- State
- Massachusetts
- Zip
- 01830-6790
- Phone Number
- 978-691-5690
- Fax Number
- 978-216-4618
Provider Business Mailing Address Details
- Address
- Po Box 412012
Boston, MA 02241-2012 - City
- Boston
- State
- MA
- Zip
- 02241-2012
- Phone Number
- 978-691-5691
- Fax Number
- 978-216-4618
License Information
- License Number (1)
- 290513
- License State (1)
- MA
- Taxonomy (1)
- Dermatology · 207N00000X · Primary
- License Number (2)
- 63113
- License State (2)
- MN
- Taxonomy (2)
- Dermatology · 207N00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near Haverhill, MA
View all Dermatology providers in Haverhill →- Dr. Nils H Thyresson, MDDermatology · NPI 1932205382
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Frequently Asked Questions
What is the NPI number of Dr. Shane O'Neil, MD?
The NPI number of Dr. Shane O'Neil, MD is 1942629795. It was assigned on April 9, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Shane O'Neil, MD?
Dr. Shane O'Neil, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in MA under license number 290513.
Where does Dr. Shane O'Neil, MD practice?
The practice location is 62 Brown St Ste 304C, Haverhill, MA 01830-6790. The office can be reached at 978-691-5690 (phone) or 978-216-4618 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942629795 directly on the NPPES registry website.