Douglas A. Neeld
Internist - Allergy & Immunology
3828 New Vision Drive
Fort Wayne
, Indiana 46845
Douglas A. Neeld
Internist - Allergy & Immunology
3828 New Vision Drive
Fort Wayne
, Indiana 46845
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Douglas A. Neeld
- 3702 New Vision Dr Bldg B
- Fort Wayne, IN
- Zip : 46845-1703
- Phone :
Second Address
- Douglas A. Neeld
- 3828 New Vision Drive
- Fort Wayne, IN
- Zip : 46845
- Fax : (260) 425-6073
- Phone : (260) 425-6070
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | 01034136A | IN |
National Provider Identifier
| NPI | 1780669374 |
|---|---|
| Provider Name | Douglas A. Neeld |
| First Address | Fort Wayne, IN 46845-1703 |
| Second Address | Fort Wayne, IN 46845 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2005 |
| Last Update Date | 29/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000541477 | ANTHEM (01) | IN |
| 100330140 | (05) | IN |
| E13991 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.