Newell, Peter Jackson

Newell, Peter Jackson is an individual health care provider with primary practice located at 6412 Laurel Ave , Lake Isabella CA 93240-9529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Newell, Peter Jackson can be contacted via phone (760) 379-2681.

Contact Information

Primary practice address
6412 Laurel Ave Lake Isabella CA 93240-9529
Phone: (760) 379-2681
Fax: (760) 379-2321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G18213 California

Profile Details

NPI number 1760504815
LBN Legal business name Newell, Peter Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jul 11th, 2018 - about 6 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 1760504815 NPPES
California MEDICAID 00G182130

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