Newman, Michael Douglas

Newman, Michael Douglas is an individual health care provider with primary practice located at Clark Health Clinic Womack Army Medical Center, Fort Bragg NC 28310-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Newman, Michael Douglas can be contacted via phone (910) 907-9727.

Contact Information

Primary practice address
Clark Health Clinic Womack Army Medical Center Fort Bragg NC 28310-0001
Phone: (910) 907-9727
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X NCCPA 1001069

Profile Details

NPI number 1588625461
LBN Legal business name Newman, Michael Douglas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1588625461 NPPES
Other NCCPA 1001069 NATIONAL CERTIFICATION

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