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Contact Information

JOEL C NEAL, CRNA
4370 W MAIN ST
DOTHAN, AL36305
 Phone: 334-793-5000
 Fax: 334-615-8419
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for JOEL C NEAL · (Male)

NPI Number 1194789123
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 04/14/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1068485
  • FL License # 3364432
  • AL Medicaid 051515915
  • FL Medicaid 304213800
  • GA Medicaid 000933919B
  • LA Medicaid 1771368
  • MS Medicaid 07152861
  • Other P00122076 RR MEDICARE
  • Other 2000640 UNITED HEALTHCARE
  • AL Other 51515915 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • SANTA ROSA MEDICAL CENTER - (Acute Care)
    6002 BERRYHILL RD
    MILTON, FL 32570
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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