Neely, David C
Neely, David C is an sole proprietor health care provider with primary practice located at 120 Ne Broadway St , Sublimity OR 97385-9505. He recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as his primary health care specialty. Neely, David C can be contacted via phone (971) 218-0871.Contact Information
Primary practice address
120 Ne Broadway St
Sublimity OR 97385-9505
Phone: (971) 218-0871
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X |
Profile Details
| NPI number | 1083361877 |
|---|---|
| LBN Legal business name | Neely, David C |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2022 |
| Last updated | Mar 2nd, 2022 - 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 | 1083361877 | NPPES |
| Oregon | MEDICAID | DZ742290 |
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