Individual
ERIC J NEUBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(800) 374-5326
(800) 374-7656
Mailing address
PO BOX 356, WICHITA, KS 67201-0356
(800) 374-5326
(800) 374-7656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
93112
KS
367500000X
Certified Registered Nurse Anesthetist
140117
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
556928
KS
390200000X
Student in an Organized Health Care Education/Training Program
1393112052
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200632820A
—
KS
Enumeration date
08/27/2009
Last updated
03/17/2010
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