Neely, Jack Lynn
Neely, Jack Lynn is an sole proprietor health care provider with primary practice located at 1010 N 21St St , Newark OH 43055-2922. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Neely, Jack Lynn can be contacted via phone (740) 366-5050.Contact Information
Primary practice address
1010 N 21St St
Newark OH 43055-2922
Phone: (740) 366-5050
Fax: (740) 366-4149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3191T955 | Ohio |
Profile Details
| NPI number | 1548232945 |
|---|---|
| LBN Legal business name | Neely, Jack Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Aug 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548232945 | NPPES |
| Ohio | MEDICAID | 0275287 |
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