Provider Demographics
NPI:1063665768
Name:NEILL, DANNY F (HEARING INSTRUMENT S)
Entity Type:Individual
Prefix:MR
First Name:DANNY
Middle Name:F
Last Name:NEILL
Suffix:
Gender:M
Credentials:HEARING INSTRUMENT S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 W. PARK ST.
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047
Mailing Address - Country:US
Mailing Address - Phone:406-333-2547
Mailing Address - Fax:406-333-2547
Practice Address - Street 1:615 W. PARK ST.
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047
Practice Address - Country:US
Practice Address - Phone:406-333-2547
Practice Address - Fax:406-333-2547
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTHADMT1070237700000X
MOHAMO753237700000X
MO000753237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000753OtherSTATE OF MISSOURI HEARING INSTRUMENT SPECIALIST LICENSE