Provider Demographics
NPI:1235897455
Name:MCNEAL, STEVEN C
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:C
Last Name:MCNEAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10920 KILWORTH CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46235-3580
Mailing Address - Country:US
Mailing Address - Phone:131-734-1260
Mailing Address - Fax:
Practice Address - Street 1:10920 KILWORTH CT
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46235-3580
Practice Address - Country:US
Practice Address - Phone:131-734-1260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-05
Last Update Date:2021-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)