Provider Demographics
NPI:1952713679
Name:NEUJAHR, BARBARA
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:NEUJAHR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX J
Mailing Address - Street 2:
Mailing Address - City:BAGLEY
Mailing Address - State:MN
Mailing Address - Zip Code:56621-1009
Mailing Address - Country:US
Mailing Address - Phone:218-694-2442
Mailing Address - Fax:218-694-2446
Practice Address - Street 1:14 2ND ST NE
Practice Address - Street 2:
Practice Address - City:BAGLEY
Practice Address - State:MN
Practice Address - Zip Code:56621-8510
Practice Address - Country:US
Practice Address - Phone:218-694-2442
Practice Address - Fax:218-694-2446
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1201XEye and Vision Services ProvidersTechnician/TechnologistOptometric Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN116599OtherUCARE
MN419000732OtherRR MEDICARE
MN410027728OtherRR MEDICARE
MN63235NEOtherBLUE CROSS AND BLUE SHIELD
63585NEOtherBLUE CROSS AND BLUE SHIELD
MN82043NEOtherBLUE CROSS AND BLUE SHIELD
MN42B91NEOtherBLUE CROSS AND BLUE SHIELD
MN22-24063OtherMEDICA
MN410991837001OtherUNICARE
MN137823600Medicaid
MN410991837OtherHUMANA GOLD
MN83340NEOtherBLUE CROSS AND BLUE SHIELD
MN982601006692OtherPREFERRED ONE
MN21-00013OtherMEDICA
MN22-24062OtherMEDICA
MN63309FOOtherBLUE CROSS AND BLUE SHIELD
MN22-24063OtherMEDICA
MN42B91NEOtherBLUE CROSS AND BLUE SHIELD
MN419000732Medicare Oscar/Certification
MN419000918Medicare Oscar/Certification