Provider Demographics
NPI:1497722946
Name:MCNEIL, HAROLD G (DO)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:G
Last Name:MCNEIL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:957 W 21ST ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-1536
Mailing Address - Country:US
Mailing Address - Phone:757-622-8358
Mailing Address - Fax:757-622-7171
Practice Address - Street 1:957 W 21ST ST
Practice Address - Street 2:SUITE E
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1536
Practice Address - Country:US
Practice Address - Phone:757-622-8358
Practice Address - Fax:757-622-9662
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102049913207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA101095P46Medicare ID - Type Unspecified
VAD60689Medicare UPIN