Mcneal, Douglas M
Mcneal, Douglas M is an individual health care provider with primary practice located at 1300 E Bradford Pkwy Bldg A , Springfield MO 65804-4264. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities is his primary health care specialty. Mcneal, Douglas M can be contacted via phone (417) 761-5000.Contact Information
Primary practice address
1300 E Bradford Pkwy Bldg A
Springfield MO 65804-4264
Phone: (417) 761-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R3B74 | Missouri |
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | R3B74 | Missouri |
Profile Details
NPI number | 1710079066 |
---|---|
LBN Legal business name | Mcneal, Douglas M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 28th, 2006 |
Last updated | Mar 22nd, 2019 - about 5 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 | 1710079066 | NPPES |
Missouri | MEDICAID | 201550720 |
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