Healthcare Provider Details

I. General information

NPI: 1144243171
Provider Name (Legal Business Name): PATRICK MURRMAN O'NEILL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 11/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3640-B ASHLEY PHOSPHATE RD.
N. CHARLESTON SC
29418
US

IV. Provider business mailing address

3640-B ASHLEY PHOSPHATE RD.
N. CHARLESTON SC
29418
US

V. Phone/Fax

Practice location:
  • Phone: 843-225-5376
  • Fax: 843-225-0043
Mailing address:
  • Phone: 843-225-5376
  • Fax: 843-225-0043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number1327
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1327
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: