Provider Demographics
NPI:1033978705
Name:NEIDIG HEALTH CARE LTD
Entity Type:Organization
Organization Name:NEIDIG HEALTH CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEIDIG
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:740-498-6337
Mailing Address - Street 1:245 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:NEWCOMERSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43832-1411
Mailing Address - Country:US
Mailing Address - Phone:740-498-6337
Mailing Address - Fax:740-498-8037
Practice Address - Street 1:245 W STATE ST
Practice Address - Street 2:
Practice Address - City:NEWCOMERSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43832-1411
Practice Address - Country:US
Practice Address - Phone:740-498-6337
Practice Address - Fax:740-498-8037
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEIDIG HEALTH CARE LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2844944Medicaid