Provider Demographics
NPI:1316978638
Name:NEWELL, JAMES WILLIAM
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILLIAM
Last Name:NEWELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 W COURT ST STE 7
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-2984
Mailing Address - Country:US
Mailing Address - Phone:530-666-5551
Mailing Address - Fax:530-666-5577
Practice Address - Street 1:221 W COURT ST STE 7
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-2984
Practice Address - Country:US
Practice Address - Phone:530-666-5551
Practice Address - Fax:530-666-5577
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12779111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0127790OtherMEDI-CAL NUMBER
CAT04899Medicare UPIN
CADC0127790Medicare ID - Type Unspecified