Provider Demographics
NPI:1225192586
Name:NEVILLE, JAMES E (CTRS)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:NEVILLE
Suffix:
Gender:M
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2387 CARPENTER CANYON ROAD
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401
Mailing Address - Country:US
Mailing Address - Phone:805-541-6245
Mailing Address - Fax:805-468-3111
Practice Address - Street 1:2385 CARPENTER CANYON RD
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-8935
Practice Address - Country:US
Practice Address - Phone:805-541-6245
Practice Address - Fax:805-468-3111
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor