Newberry, Gary W
Newberry, Gary W is an sole proprietor health care provider with primary practice located at 1619 6Th St Se , Winter Haven FL 33880-4605. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Newberry, Gary W can be contacted via phone (863) 297-5250.Contact Information
Primary practice address
1619 6Th St Se
Winter Haven FL 33880-4605
Phone: (863) 297-5250
Fax: (863) 299-1315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH2738 | Florida |
Profile Details
| NPI number | 1053300210 |
|---|---|
| LBN Legal business name | Newberry, Gary W |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Sep 13th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053300210 | NPPES |
| Florida | MEDICAID | 0511331-00 |
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