Provider Demographics
NPI:1629895859
Name:O'NEAL, MEGAN DANIELLE (DS)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:DANIELLE
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:DS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4614 WAVERLY RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25704-1039
Mailing Address - Country:US
Mailing Address - Phone:304-730-4482
Mailing Address - Fax:
Practice Address - Street 1:4614 WAVERLY RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25704-1039
Practice Address - Country:US
Practice Address - Phone:304-730-4482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-19
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist