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:
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Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548300601 NPPES
Michigan Other 68-0-B8-4532-0 BLUE CROSS
Michigan Other 11284895 BLUE CROSS

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