Provider Demographics
NPI:1013915479
Name:NEUMAN, PAUL C (DO)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:C
Last Name:NEUMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 VIRGINIA RD
Mailing Address - Street 2:
Mailing Address - City:EDENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27932-1446
Mailing Address - Country:US
Mailing Address - Phone:252-482-3047
Mailing Address - Fax:252-482-5061
Practice Address - Street 1:113 VIRGINIA RD
Practice Address - Street 2:
Practice Address - City:EDENTON
Practice Address - State:NC
Practice Address - Zip Code:27932-1446
Practice Address - Country:US
Practice Address - Phone:252-482-3047
Practice Address - Fax:252-482-5061
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS008034L207X00000X
NC2019-02899207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG62587Medicare UPIN
175942ZF11Medicare PIN
PA30085713Medicaid