Individual
DR. JERRY EDWARD NEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
645 SOUTH ROGERS STREET, BLOOMINGTON, IN 47403
(812) 339-1691
(812) 339-8109
Mailing address
645 SOUTH ROGERS STREET, BLOOMINGTON, IN 47403
(812) 339-1691
(812) 339-8109
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01027839A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000077433
ANTHEM
IN
05
—
100184040A
—
IN
Enumeration date
12/07/2005
Last updated
11/04/2011
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