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NPI Code Detail

MEDICARE: JOSHUA S NEUCKS MD

MEDICARE: JOSHUA S NEUCKS MD
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
12084N0400XNeurology Physician01072080AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265675953
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA S NEUCKS MD
Provider Business Mailing Address
First Line : 6983 HILLSDALE CT
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2054
Country : US
Telephone Number : 317-849-8350
Fax Number : 317-576-6311
Provider Business Practice Location Address
First Line : 100 HOSPITAL LN STE 225
Second Line :
City : DANVILLE
State : IN
Zip : 46122-1870
Country : US
Telephone Number : 317-718-4730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2009
Last Update Date : 09/25/2024

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Directions to “ JOSHUA S NEUCKS MD” Practice Location

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