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NPI Code Detail

MEDICARE: RACHEL BETH NEWMAN M.D.

MEDICARE: RACHEL BETH NEWMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician125.054003IL

General Provider Information

NPI Number : 1013173392
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL BETH NEWMAN M.D.
Provider Business Mailing Address
First Line : 14734 PARK AVE
Second Line :
City : CHARLEVOIX
State : MI
Zip : 49720-1927
Country : US
Telephone Number : 231-547-6554
Fax Number : 231-547-1179
Provider Business Practice Location Address
First Line : 14734 PARK AVE
Second Line :
City : CHARLEVOIX
State : MI
Zip : 49720-1927
Country : US
Telephone Number : 231-547-6554
Fax Number : 231-547-1179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2008
Last Update Date : 07/02/2014

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