DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL CALVIN NEILL JR.

Active Sole Proprietor

Nurse's Aide · LAKE ST LOUIS, MO

Registration Details

NPI Number
1871196758
Provider Type
Individual
Gender
Male
NPI Issued
Nov 20, 2020 (5.4307039597984 yrs)
Last Updated
Nov 20, 2020
License
155183 (MO)
Sole Proprietor
Yes

Practice Information

Address
100 MEDICAL PLZ
LAKE ST LOUIS, MO, 633671366
Browse MO providers · Browse ZIP 63367
Phone
6366255200
Primary Specialty
Nurse's Aide
376K00000X

Other Nurse's Aide Providers in LAKE ST LOUIS, MO

Name Credential NPI
MIRI K GRAEFEN 1518845395
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.