Neff, Jerry Edward

Neff, Jerry Edward is an individual health care provider with primary practice located at 645 South Rogers Street , Bloomington IN 47403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Neff, Jerry Edward can be contacted via phone (812) 339-1691.

Contact Information

Primary practice address
645 South Rogers Street Bloomington IN 47403
Fax: (812) 339-8109
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01027839A Indiana

Profile Details

NPI number 1922083567
LBN Legal business name Neff, Jerry Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Nov 4th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922083567 NPPES
Indiana Other 000000077433 ANTHEM
Indiana MEDICAID 100184040A ANTHEM

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