Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | CP 1179 | CA |
N | 222Z00000X | Podiatrist | CP 1179 | CA |
N | 224P00000X | Prosthetist | CP 1179 | CA |
N | 225000000X | Orthotic Fitter | CP 1179 | CA |
NPI | 1457577991 |
---|---|
Provider Name | Daniel Jay Newton |
First Address | Bakersfield, CA 93301-1816 |
Second Address | Bakersfield, CA 93301-1816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |