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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568456101 NPPES
Florida Other G1800 BLUE SHIELD PROV #
Florida MEDICAID 302149100 BLUE SHIELD PROV #

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