Mcniel, Mark David
Mcniel, Mark David is an sole proprietor health care provider with primary practice located at 250 N Green Bay Rd , Neenah WI 54956-2245. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mcniel, Mark David can be contacted via phone (920) 725-7840.Contact Information
Primary practice address
250 N Green Bay Rd
Neenah WI 54956-2245
Phone: (920) 725-7840
Fax: (920) 725-5355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3335-015 | Wisconsin |
Profile Details
| NPI number | 1679694558 |
|---|---|
| LBN Legal business name | Mcniel, Mark David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1679694558 | NPPES |
| Wisconsin | MEDICAID | 33469900 |
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