Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 01062932A | IN |
NPI | 1093755753 |
---|---|
Provider Name | Joseph C Duncan |
First Address | Muncie, IN 47308-1643 |
Second Address | Muncie, IN 47304-5407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 17/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000495010 | ANTHEM (01) | IN |
200841070 | (05) | IN |
H90406 | (02) | |
P00374120 | RAILROAD MEDICARE (01) | IN |