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General NPI Number Information
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NPI Number | 1003232877
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Entity Type | Individual
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Provider Name | MR. DOUGLAS NEWLON
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Gender | Male
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Dates
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Enumeration Date | 03/17/2014
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Last Update Date | 03/17/2014
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Provider Practice Location Address
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Address Line | 18901 LAKE SHORE BLVD EUCLID HOSPITAL HEALTH CENTER, #200
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City | EUCLID
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State | OH
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Zip | 44119-1078
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Country | US
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Telephone | 216-692-7898
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Fax | 216-692-7494
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Provider Business Mailing Address
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Address Line | 5523 LANSBURY LN
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City | LYNDHURST
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State | OH
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Zip | 44124-3817
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Country | US
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Telephone | 216-312-3195
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT.007426
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License Number State | OH
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