Organization
ADVANCED NEUROLOGIC ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT MCNEA (DIRECTOR OF OPERATIONS)
(419) 483-2403
Entity
Organization
Contact information
Practice address
5433 STATE ROUTE 113, BELLEVUE, OH 44811-9708
(419) 483-2403
(419) 483-8418
Mailing address
5433 STATE ROUTE 113, BELLEVUE, OH 44811-9708
(419) 483-2403
(419) 483-8418
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2383620
—
OH
01
—
CL1664
RAILROAD MEDICARE
OH
Enumeration date
10/19/2006
Last updated
05/31/2013
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