Newman, John S
Newman, John S is an sole proprietor health care provider with primary practice located at 875 Sterthaus Ave , Ormond Beach FL 32174-5131. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Newman, John S can be contacted via phone (386) 676-6000.Contact Information
Primary practice address
875 Sterthaus Ave
Ormond Beach FL 32174-5131
Phone: (386) 676-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | ARNP2860442 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APRN2860442 | Florida |
Profile Details
| NPI number | 1568456101 |
|---|---|
| LBN Legal business name | Newman, John S |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Jan 5th, 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 | 1568456101 | NPPES |
| Florida | Other | G1800 | BLUE SHIELD PROV # |
| Florida | MEDICAID | 302149100 | BLUE SHIELD PROV # |
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