Haltom, Neil Jacob

Haltom, Neil Jacob is an sole proprietor health care provider with primary practice located at 2336 Wisteria Dr Ste 420 , Snellville GA 30078-6160. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Haltom, Neil Jacob can be contacted via phone (404) 590-5366.

Contact Information

Primary practice address
2336 Wisteria Dr Ste 420 Snellville GA 30078-6160
Phone: (404) 590-5366
Fax: (770) 982-0015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05013487A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT015162 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT015162 Georgia

Profile Details

NPI number 1306493812
LBN Legal business name Haltom, Neil Jacob
Credentials PT, DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2019
Last updated Mar 4th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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