Provider Demographics
NPI:1396504726
Name:NEELAN, CALLEY (BA)
Entity type:Individual
Prefix:
First Name:CALLEY
Middle Name:
Last Name:NEELAN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:CALLEY
Other - Middle Name:NEELAN
Other - Last Name:MACHIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA
Mailing Address - Street 1:5280 HIDDEN CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-1776
Mailing Address - Country:US
Mailing Address - Phone:724-599-7911
Mailing Address - Fax:
Practice Address - Street 1:5050 MADISON RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-1491
Practice Address - Country:US
Practice Address - Phone:513-272-2800
Practice Address - Fax:513-272-2807
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist