Healthcare Provider Details

I. General information

NPI: 1699144832
Provider Name (Legal Business Name): NEWMAN CLINICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2015
Last Update Date: 02/10/2020
Certification Date: 02/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18275 SR 410 E STE 101
BONNEY LAKE WA
98391-6917
US

IV. Provider business mailing address

18275 SR 410 E STE 101
BONNEY LAKE WA
98391-6917
US

V. Phone/Fax

Practice location:
  • Phone: 253-948-2757
  • Fax: 253-248-0228
Mailing address:
  • Phone: 253-948-2757
  • Fax: 253-248-0228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW MICHAEL NEWMAN
Title or Position: OWNER/CHIROPRACTOR
Credential: DC, CCSP
Phone: 253-948-2757