Mccollum, Neal Bradley
Mccollum, Neal Bradley is an sole proprietor health care provider with primary practice located at 1000 36Th St , Vero Beach FL 32960-4862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mccollum, Neal Bradley can be contacted via phone (772) 567-9711.Contact Information
Primary practice address
1000 36Th St
Vero Beach FL 32960-4862
Phone: (772) 567-9711
Fax: (772) 563-4574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME105406 | Florida |
Profile Details
| NPI number | 1780846683 |
|---|---|
| LBN Legal business name | Mccollum, Neal Bradley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2008 |
| Last updated | Apr 3rd, 2023 - about 2 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 | 1780846683 | NPPES |
| Georgia | MEDICAID | 003100158A |
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