Individual
MR. STEVEN HOWARD NEUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6330 E 75TH STREET, SUITE 110, INDIANAPOLIS, IN 46250-2717
(317) 588-7130
(317) 588-7133
Mailing address
6330 E 75TH STREET, SUITE 110, INDIANAPOLIS, IN 46250-2717
(317) 588-7130
(317) 588-7133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01029878
IN
207RR0500X
Rheumatology Physician
Primary
01029878
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087300
BLUE CROSS ANTHEM
IN
01
—
000000640865
BCBS
IN
05
—
100331880A
—
IN
Enumeration date
11/18/2005
Last updated
10/06/2020
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