Lava, Neil S
Lava, Neil S is an individual health care provider with primary practice located at 12 Executive Park Drive , Atlanta GA 30329-2206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Lava, Neil S can be contacted via phone (404) 778-3444.Contact Information
Primary practice address
12 Executive Park Drive
Atlanta GA 30329-2206
Phone: (404) 778-3444
Fax: (404) 712-7464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 121255-1 | New York |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 60115 | Georgia |
Profile Details
| NPI number | 1013900919 |
|---|---|
| LBN Legal business name | Lava, Neil S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Oct 22nd, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013900919 | NPPES |
| Georgia | MEDICAID | 169085553H |
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