Innis, David Neal

Innis, David Neal is an sole proprietor health care provider with primary practice located at 320 Park Ave , Janesville WI 53548-4620. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Innis, David Neal can be contacted via phone (608) 359-3357.

Contact Information

Primary practice address
320 Park Ave Janesville WI 53548-4620
Phone: (608) 359-3357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 307611-31 Wisconsin

Profile Details

NPI number 1245540368
LBN Legal business name Innis, David Neal
Credentials LPN, LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2010
Last updated Oct 8th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245540368 NPPES
Wisconsin Other 307611-31 LPN

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