Newman, Debra L

Newman, Debra L is an sole proprietor health care provider with primary practice located at 184 El Encanto Way , Santa Rosa CA 95409-4378. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Newman, Debra L can be contacted via phone (978) 769-7265.

Contact Information

Primary practice address
184 El Encanto Way Santa Rosa CA 95409-4378
Phone: (978) 769-7265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X A5419208 California

Profile Details

NPI number 1932865870
LBN Legal business name Newman, Debra L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2021
Last updated Nov 15th, 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 1932865870 NPPES
California MEDICAID A5419208

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