1710394234 NPI number — AMANDA MCNEIL

Table of content: AMANDA MCNEIL (NPI 1710394234)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710394234 NPI number — AMANDA MCNEIL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCNEIL
Provider First Name:
AMANDA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710394234
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/16/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1941 S 42ND ST
Provider Second Line Business Mailing Address:
129
Provider Business Mailing Address City Name:
OMAHA
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68105-2939
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-871-9979
Provider Business Mailing Address Fax Number:
402-614-9947

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1941 S 42ND ST
Provider Second Line Business Practice Location Address:
129
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68105-2939
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-871-9979
Provider Business Practice Location Address Fax Number:
402-614-9947
Provider Enumeration Date:
07/16/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10026355300 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10025769200 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".




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