Individual
JOEL C NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305
(334) 793-5000
(334) 615-8419
Mailing address
PO BOX 6907, DOTHAN, AL 36302
(334) 793-5000
(334) 615-8419
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1068485
AL
367500000X
Certified Registered Nurse Anesthetist
3364432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000933919B
—
GA
05
—
051515915
—
AL
05
—
07152861
—
MS
05
—
1771368
—
LA
01
—
2000640
UNITED HEALTHCARE
—
05
—
304213800
—
FL
01
—
51515915
BLUE CROSS BLUE SHIELD
AL
01
—
P00122076
RR MEDICARE
—
Enumeration date
04/14/2006
Last updated
07/08/2007
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