Neufeld, Jonathan Dale
Neufeld, Jonathan Dale is an individual health care provider with primary practice located at 330 Lakeview Dr , Goshen IN 46528-9365. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Neufeld, Jonathan Dale can be contacted via phone (574) 533-1234.Contact Information
Primary practice address
330 Lakeview Dr
Goshen IN 46528-9365
Phone: (574) 533-1234
Fax: (574) 537-2652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY17420 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20042056A | Indiana |
Profile Details
| NPI number | 1972571776 |
|---|---|
| LBN Legal business name | Neufeld, Jonathan Dale |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jan 7th, 2016 - about 10 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 | 1972571776 | NPPES |
| Indiana | MEDICAID | 200888680 | |
| Indiana | MEDICAID | 200804500A |
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