Provider Demographics
NPI:1194571422
Name:NEWTON, ALEXIS A
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:A
Last Name:NEWTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 ANGLER CT
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45430-2503
Mailing Address - Country:US
Mailing Address - Phone:614-558-4090
Mailing Address - Fax:
Practice Address - Street 1:4420 OVERLAND TRL
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-1838
Practice Address - Country:US
Practice Address - Phone:614-558-4090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHUH780696253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care