Neily, John Gregory

Neily, John Gregory is an sole proprietor health care provider with primary practice located at 21550 Angela Ln , Venice FL 34293-2017. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Neily, John Gregory can be contacted via phone (941) 493-7400.

Contact Information

Primary practice address
21550 Angela Ln Venice FL 34293-2017
Fax: (941) 493-1940
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OS6785 Florida

Profile Details

NPI number 1760553630
LBN Legal business name Neily, John Gregory
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Mar 1st, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760553630 NPPES
Florida Other 80963 BLUE SHIELD ID NUMBER

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