O'Donnell, Neil Frederick
O'Donnell, Neil Frederick is an sole proprietor health care provider with primary practice located at 2150 S Airport Rd W Suite A, Traverse City MI 49684-4705. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. O'Donnell, Neil Frederick can be contacted via phone (231) 929-4399.Contact Information
Primary practice address
2150 S Airport Rd W Suite A
Traverse City MI 49684-4705
Phone: (231) 929-4399
Fax: (231) 929-4790
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301011534 | Michigan |
Profile Details
NPI number | 1548300601 |
---|---|
LBN Legal business name | O'Donnell, Neil Frederick |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 7th, 2007 |
Last updated | Jan 28th, 2011 - 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 | 1548300601 | NPPES |
Michigan | Other | 68-0-B8-4532-0 | BLUE CROSS |
Michigan | Other | 11284895 | BLUE CROSS |
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