National Provider Identifier Database

F LEE NEAL JR MD PA
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

F LEE NEAL JR MD PA
717 S CHURCH ST
BROOKHAVEN, MS39601-3811
Phone: 601-757-5702
Fax:
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for F LEE NEAL JR MD PA

NPI Number 1578703583
Legal business name
LBN
F LEE NEAL JR MD PA
Authorized official FITZHUGH NEAL - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/03/2009
Last updated 03/03/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 13550

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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