MEDICARE: SCOTT NEEB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	376J00000X	Homemaker
2	385H00000X	Respite Care
3	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1114698222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT NEEB

Provider Business Mailing Address
First Line	:	930 4TH AVE
Second Line	:
City	:	LAKE ODESSA
State	:	MI
Zip	:	48849-1003
Country	:	US
Telephone Number	:	616-841-9037
Fax Number	:	888-507-5736

Provider Business Practice Location Address
First Line	:	930 4TH AVE
Second Line	:
City	:	LAKE ODESSA
State	:	MI
Zip	:	48849-1003
Country	:	US
Telephone Number	:	616-841-9037
Fax Number	:	888-507-5736

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2021
Last Update Date	:	09/28/2021

Similar Medicare Providers

1851340335 — CATHERINE HEMINGWAY R.D.H
Practice Location Address:

924 4TH AVE
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48849-1003

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Practice Fax:

1639258320 — AARON BLANE FREEMAN D.D.S
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1063243749 — LUMINATE HOME CARE, LLC
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1497739643 — JOHN P. HEMMING O.D.
Practice Location Address:

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1558320846 — DR. CLARENCE RICHARD BARNETT M.D.
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1457314619 — CHAD RONALD HICKEY D.C.
Practice Location Address:

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Directions to “ SCOTT NEEB ” Practice Location

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