Provider Demographics
NPI:1184474397
Name:DAVID NEFF, DO, PLLC
Entity type:Organization
Organization Name:DAVID NEFF, DO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:NEFF
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:517-290-1079
Mailing Address - Street 1:6260 TIMBER VIEW DR
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-9319
Mailing Address - Country:US
Mailing Address - Phone:517-290-1079
Mailing Address - Fax:
Practice Address - Street 1:3493 WOODS EDGE
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-5911
Practice Address - Country:US
Practice Address - Phone:517-290-1079
Practice Address - Fax:517-481-3765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes305S00000XManaged Care OrganizationsPoint of Service
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty