Provider Demographics
NPI:1245303460
Name:BERKMAN NEAL, LLC
Entity type:Organization
Organization Name:BERKMAN NEAL, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:912-354-6767
Mailing Address - Street 1:1101 E 51ST ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-4031
Mailing Address - Country:US
Mailing Address - Phone:912-354-6767
Mailing Address - Fax:912-353-7431
Practice Address - Street 1:1101 E 51ST ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-4031
Practice Address - Country:US
Practice Address - Phone:912-354-6767
Practice Address - Fax:912-353-7431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO05565111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA637223OtherBLUE CROSS BLUE SHEILD