Newby, Michael Ray
Newby, Michael Ray is an individual health care provider with primary practice located at 9 Main St , Black River Falls WI 54615-1795. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Newby, Michael Ray can be contacted via phone (715) 670-0310.Contact Information
Primary practice address
9 Main St
Black River Falls WI 54615-1795
Phone: (715) 670-0310
Fax: (715) 670-0315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4840 | Wisconsin |
Profile Details
| NPI number | 1417913237 |
|---|---|
| LBN Legal business name | Newby, Michael Ray |
| Credentials | PHYSICAL THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Dec 1st, 2021 - about 5 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 | 1417913237 | NPPES |
| Wisconsin | MEDICAID | 40263400 |
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