Newman, Anthony David
Newman, Anthony David is an sole proprietor health care provider with primary practice located at 500 E Woodrow Wilson Ave Building E, Jackson MS 39216-4538. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Newman, Anthony David can be contacted via phone (601) 366-7113.Contact Information
Primary practice address
500 E Woodrow Wilson Ave Building E
Jackson MS 39216-4538
Phone: (601) 366-7113
Fax: (601) 366-7114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3197-01 | Mississippi |
Profile Details
| NPI number | 1831256965 |
|---|---|
| LBN Legal business name | Newman, Anthony David |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 1st, 2007 |
| Last updated | Nov 5th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831256965 | NPPES |
| Mississippi | MEDICAID | 00660398 |
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