Provider Demographics
NPI:1215927009
Name:NEUMANN, ALICE AMACHER (MD)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:AMACHER
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9423 W KENTUCKY PL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-4176
Mailing Address - Country:US
Mailing Address - Phone:307-413-4092
Mailing Address - Fax:
Practice Address - Street 1:9423 W KENTUCKY PL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-4176
Practice Address - Country:US
Practice Address - Phone:307-413-4092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-24
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO27238207ZC0500X, 207ZP0105X, 207ZP0101X
KYTP919207ZP0102X
KY51929207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO220368OtherMEDICARE
CO419118OtherMEDICARE
SCGA1140Medicaid
GA003104510AMedicaid
IN300020170Medicaid
COCE8148OtherMEDICARE
CO220303357OtherMEDICARE NUMBER
CO441958OtherMEDICARE
KY7100576400Medicaid