Individual
CORY SCOTT NEUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 MICHIGAN AVENUE, STE 270, LOGANSPORT, IN 46947-1530
(574) 722-4921
(574) 739-0520
Mailing address
1201 MICHIGAN AVENUE, STE 270, LOGANSPORT, IN 46947-1530
(574) 722-4921
(574) 739-0520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01043376A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090997
ANTHEM BLUE CROSS
IN
01
—
080069248
MEDICARE RAILROAD
—
05
—
200033340A
—
IN
01
—
4637632
AETNA
IN
01
—
9195323002
CIGNA
IN
Enumeration date
06/16/2005
Last updated
08/01/2011
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