1952713679 NPI number — MS. BARBARA NEUJAHR

Table of content: MS. BARBARA NEUJAHR (NPI 1952713679)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952713679 NPI number — MS. BARBARA NEUJAHR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NEUJAHR
Provider First Name:
BARBARA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952713679
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/29/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX J
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAGLEY
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
56621-1009
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
218-694-2442
Provider Business Mailing Address Fax Number:
218-694-2446

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14 2ND ST NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAGLEY
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56621-8510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-694-2442
Provider Business Practice Location Address Fax Number:
218-694-2446
Provider Enumeration Date:
05/29/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 156FX1201X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 116599 . This is a "UCARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 419000732 . This is a "RR MEDICARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 410027728 . This is a "RR MEDICARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 63235NE . This is a "BLUE CROSS AND BLUE SHIELD" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 63585NE . This is a "BLUE CROSS AND BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 82043NE . This is a "BLUE CROSS AND BLUE SHIELD" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 42B91NE . This is a "BLUE CROSS AND BLUE SHIELD" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 22-24063 . This is a "MEDICA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 410991837001 . This is a "UNICARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 137823600 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 410991837 . This is a "HUMANA GOLD" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 83340NE . This is a "BLUE CROSS AND BLUE SHIELD" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 982601006692 . This is a "PREFERRED ONE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 21-00013 . This is a "MEDICA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 22-24062 . This is a "MEDICA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 63309FO . This is a "BLUE CROSS AND BLUE SHIELD" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".




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