Newton, Diane R

Newton, Diane R is an individual health care provider with primary practice located at 2035 Silvercreek Ln , Boise ID 83706-6112. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Newton, Diane R can be contacted via phone (208) 368-0095.

Contact Information

Primary practice address
2035 Silvercreek Ln Boise ID 83706-6112
Phone: (208) 368-0095
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M7278 Idaho
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X M7278 Idaho

Profile Details

NPI number 1689617797
LBN Legal business name Newton, Diane R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Feb 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689617797 NPPES
Maryland MEDICAID 223007100
Maryland MEDICAID 2914252
Maryland MEDICAID 804198300
Maryland MEDICAID 1452114
Maryland MEDICAID QM7278
Maryland Other 1689617797

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