Healthcare Provider Details

I. General information

NPI: 1376579912
Provider Name (Legal Business Name): NEWMAN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 01/14/2022
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4180A OAK RIDGE AVE
MOBILE AL
36619-1851
US

IV. Provider business mailing address

4180A OAK RIDGE AVE
MOBILE AL
36619-1851
US

V. Phone/Fax

Practice location:
  • Phone: 251-450-0808
  • Fax: 251-450-0859
Mailing address:
  • Phone: 251-533-7352
  • Fax: 251-450-0859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number900214
License Number StateAL

VIII. Authorized Official

Name: DANIEL A NEWMAN
Title or Position: PRES
Credential:
Phone: 251-450-0808