Provider / Organization | NPI | Date Certified |
---|---|---|
MICHAEL V NEITZEL | 1801476197 | 2021-04-11 |
Michael V Neitzel is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1801476197. Registration indicates Michael V Neitzel is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
Entity Type | Individual |
Provider Name | Michael V Neitzel RN |
Practice Office Address | 7232 JUSTIN WAY MENTOR, OH US |
Practice Office Telephone | 4405788200 |
Mailing Address | 7232 JUSTIN WAY MENTOR, OH 440604881 US |
Business Telephone | 4405788200 |
Code | Practice | License No State |
---|---|---|
163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | RN.466301
OH |
0438789 | MEDICAID | OH |