Individual
MATTHEW NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
403 S JACKSON BLVD, CHESTERTON, IN 46304-2049
(219) 929-7085
Mailing address
403 S JACKSON BLVD, CHESTERTON, IN 46304-2049
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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