Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | 20042473A | IN |
NPI | 1144555855 |
---|---|
Provider Name | Dr. Paula A. Neuman |
First Address | Fort Wayne, IN 46802-1412 |
Second Address | Fort Wayne, IN 46802-1412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2009 |
Last Update Date | 15/07/2020 |