Newsome, Damon

Newsome, Damon is an individual health care provider with primary practice located at 940 Parkway Dr , Salyersville KY 41465-9251. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Newsome, Damon can be contacted via phone (606) 298-3412.

Contact Information

Primary practice address
940 Parkway Dr Salyersville KY 41465-9251
Phone: (606) 298-3412
Fax: (606) 298-5123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 24870 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 024870 New York

Profile Details

NPI number 1487633426
LBN Legal business name Newsome, Damon
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Mar 25th, 2024 - about 2 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 1487633426 NPPES
Kentucky Other 000000524189 BCBS
Kentucky Other Q00328306 BCBS
Kentucky MEDICAID 95004933 BCBS
Kentucky Other 000559736001 BCBS
Kentucky MEDICAID 07268739 BCBS
Kentucky Other P00176973 BCBS

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