Individual
DR. NORMAN C NEEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12166 OLD BIG BEND RD, STE. 108, KIRKWOOD, MO 63122-6844
(314) 984-0033
(314) 984-0020
Mailing address
PO BOX 1073, MARYLAND HEIGHTS, MO 63043-0073
(314) 984-0033
(314) 991-8960
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
R1J92
MO
208D00000X
General Practice Physician
R1J92
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133154
HEALTHLINK PROVIDER NUMBE
MO
01
—
180821
BLUE CROSS BLUE SHIELD
MO
01
—
2300025
UNITED HEALTH CARE PROV #
MO
05
—
242604312
—
MO
01
—
431554207
MERCY HEALTH PLAN
MO
01
—
4585451
AETNA PROVIDER NUMBER
MO
Enumeration date
06/29/2005
Last updated
09/23/2019
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