Provider Demographics
NPI:1689453474
Name:NEIDIG HEALTH CARE LTD
Entity Type:Organization
Organization Name:NEIDIG HEALTH CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy