MEDICARE: ALEXIS A NEWTON

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
1	253Z00000X	In Home Supportive Care Agency	UH780696	OH

General Provider Information

NPI Number	:	1194571422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS A NEWTON

Provider Business Mailing Address
First Line	:	641 ANGLER CT
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45430-2503
Country	:	US
Telephone Number	:	614-558-4090
Fax Number	:

Provider Business Practice Location Address
First Line	:	4420 OVERLAND TRL
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45429-1838
Country	:	US
Telephone Number	:	614-558-4090
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2024
Last Update Date	:	04/26/2024

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Directions to “ ALEXIS A NEWTON ” Practice Location

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