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NPI Code Detail

MEDICARE: DR. NORMAN C NEEB DO

MEDICARE: DR. NORMAN C NEEB DO
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianR1J92MO
2204D00000XNeuromusculoskeletal Medicine & OMM PhysicianR1J92MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1180821OTHERMOBLUE CROSS BLUE SHIELD
24585451OTHERMOAETNA PROVIDER NUMBER
3133154OTHERMOHEALTHLINK PROVIDER NUMBE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5431554207OTHERMOMERCY HEALTH PLAN
62300025OTHERMOUNITED HEALTH CARE PROV #

General Provider Information

NPI Number : 1245237858
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NORMAN C NEEB DO
Provider Business Mailing Address
First Line : PO BOX 1073
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-0073
Country : US
Telephone Number : 314-984-0033
Fax Number : 314-991-8960
Provider Business Practice Location Address
First Line : 12166 OLD BIG BEND RD
Second Line : STE. 108
City : KIRKWOOD
State : MO
Zip : 63122-6844
Country : US
Telephone Number : 314-984-0033
Fax Number : 314-984-0020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2005
Last Update Date : 09/23/2019

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Directions to “ DR. NORMAN C NEEB DO” Practice Location

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