Stalker, Neil
Stalker, Neil is an individual health care provider with primary practice located at 285 W 12Th St Ste. 102, Peru IN 46970-1653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Stalker, Neil can be contacted via phone (765) 472-4356.Contact Information
Primary practice address
285 W 12Th St Ste. 102
Peru IN 46970-1653
Phone: (765) 472-4356
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01029139A | Indiana |
Profile Details
| NPI number | 1366407926 |
|---|---|
| LBN Legal business name | Stalker, Neil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Sep 14th, 2020 - about 4 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 | 1366407926 | NPPES |
| Indiana | MEDICAID | 100358190 |
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