Provider Demographics
NPI:1063174126
Name:NEAL, BRIEN EDWARD
Entity type:Individual
Prefix:MR
First Name:BRIEN
Middle Name:EDWARD
Last Name:NEAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:768 COVERED BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-3197
Mailing Address - Country:US
Mailing Address - Phone:614-824-9341
Mailing Address - Fax:
Practice Address - Street 1:768 COVERED BRIDGE DR
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-3197
Practice Address - Country:US
Practice Address - Phone:614-824-9341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-06
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant