| Doctor Name: | JOHN NEIHLS |
| NPI Number: | 1336593722 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 055235 |
| Business Practice Address: | 20558 E 1400th Ave Teutopolis, IL - 624673644 |
| Business Phone Number: | 2178216852 |
| Business Fax Number: | 5806282267 |
| Mailing Address: | 20558 E 1400th Ave, TEUTOPOLIS |
| State: | IL |
| Postal Code: | 624673644 |
| Phone Number: | 2178216852 |
| Fax Number: | 5806282267 |
| NPI Enumeration Date: | 04/21/2016 |
| NPI Last Update Date: | 04/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 055235 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |