Healthcare Provider Details

I. General information

NPI: 1881009355
Provider Name (Legal Business Name): CHRISTOPHER NEWMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2014
Last Update Date: 06/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 E PARK STREET
LIVINGSTON MT
59047-5587
US

IV. Provider business mailing address

PO BOX 1587
LIVINGSTON MT
59047-5587
US

V. Phone/Fax

Practice location:
  • Phone: 406-222-2812
  • Fax: 406-222-4764
Mailing address:
  • Phone: 406-222-2812
  • Fax: 406-222-4764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLAC-LAC-LIC-2612
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: