Eastern Indiana Neurology, P.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

01028724 Issued in IN

Legal business name

EASTERN INDIANA NEUROLOGY, P.C.

Practice address

1508 W White River Blvd
Muncie, IN 47303-4949

Phone

(765) 288-6828

Fax

(765) 741-3979

NPI assigned

Feb 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John D Wulff, MD

Title

MD

Phone

(765) 288-6828

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861527384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 W WHITE RIVER BLVD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034949",
            "telephone_number": "765-288-6828",
            "fax_number": "765-741-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W WHITE RIVER BLVD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034949",
            "telephone_number": "765-288-6828",
            "fax_number": "765-741-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN INDIANA NEUROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WULFF",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "765-288-6828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01028724",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01041561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Central Indiana Oral and Maxillofacial Surgery, LLC
• East Central Indiana Pathologists PC
• East Central Indiana Primary Care Network (Muncie Internal Medicine)
• East Central Indiana Vascular Lab LLC
• East Central Radiology (IMAGING Center of East Central Indiana)
• Matthew A Eaton, DO
• Ec Muncie Operations, LLC (Elmcroft of Muncie)
• Ec Opco Muncie, LLC (Muncie Estates Senior Living)
• William Laurence Eckstein, MD
• Janet L Edie, MSW

• Neurology Physician in Muncie, IN
• Providers in Muncie, IN by specialty
• Neurology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.