Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 35083084 | OH |
NPI | 1003801325 |
---|---|
Provider Name | Terence R Newman |
First Address | Defiance, OH 43512-1396 |
Second Address | Defiance, OH 43512-1396 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000339095 | ANTHEM (01) | OH |
04578 | PHC (01) | OH |
20-03236 | UHC (01) | OH |
2436984 | (05) | OH |
341893773-008 | MMO (01) | OH |
7297550 | AETNA (01) | OH |
B90950 | (02) | OH |
P00135976 | RRMC (01) | OH |