Male or Other

Jacob M. O'Neill M.D.

Orthopaedic Surgery Physician in Evansville, IN(View on Map)

Full Name

Jacob M O'Neill M.D.

NPI Number

1104822279

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/23/2005

Specialties

(Taxonomies)

Code

207X00000X

Primary Taxonomy

Yes

Licenses

State

Indiana
Kentucky

License Number

01048828A
30896

Contact
Information

Purpose

Mailing
Location

Address

225 CROSSLAKE DR
225 CROSSLAKE DR

City

Evansville
Evansville

State

IN
IN

Postal Code

47715-8198
47715-8198

Country

US
US

Telephone Number

(812) 477-1558
(812) 477-1558

Identifiers

Identifier

200830150

Identifier State

IN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/30/2013

Provider Address

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