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Contact Information

MARY D NEELY
3756 15TH ST
ECORSE, MI48229-1332
 Phone: 313-772-0145
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARY D NEELY · (Female)

NPI Number 1396128039
Status Active
Credentials
Entity Individual
Enumeration date 06/30/2015
Last updated 06/30/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 152WL0500X
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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