Newton, Timothy Mark

Newton, Timothy Mark is an individual health care provider with primary practice located at 1725 South Main Street Suite 202, Wake Forest NC 27587. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Newton, Timothy Mark can be contacted via phone (919) 556-6501.

Contact Information

Primary practice address
1725 South Main Street Suite 202 Wake Forest NC 27587
Phone: (919) 556-6501
Fax: (919) 556-4933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1414 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 1414 North Carolina

Profile Details

NPI number 1073624235
LBN Legal business name Newton, Timothy Mark
Credentials MA LPA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1073624235 NPPES
North Carolina Other 8497 FIVE COUNTY MENTAL HEALTH
North Carolina MEDICAID 6107373 FIVE COUNTY MENTAL HEALTH

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