Newby, Michael Ray

Newby, Michael Ray is an individual health care provider with primary practice located at 9 Main St , Black River Falls WI 54615-1795. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Newby, Michael Ray can be contacted via phone (715) 670-0310.

Contact Information

Primary practice address
9 Main St Black River Falls WI 54615-1795
Phone: (715) 670-0310
Fax: (715) 670-0315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4840 Wisconsin

Profile Details

NPI number 1417913237
LBN Legal business name Newby, Michael Ray
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Dec 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417913237 NPPES
Wisconsin MEDICAID 40263400

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