Healthcare Provider Details

I. General information

NPI: 1326339458
Provider Name (Legal Business Name): COLIN ALBERT NEUMANN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2011
Last Update Date: 11/15/2022
Certification Date: 03/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 W DAISY LN
NEW ALBANY IN
47150-4537
US

IV. Provider business mailing address

2944 BRECKENRIDGE LN
LOUISVILLE KY
40220-1409
US

V. Phone/Fax

Practice location:
  • Phone: 502-893-0159
  • Fax:
Mailing address:
  • Phone: 502-893-0159
  • Fax: 502-213-3853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number48867
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: