Provider Demographics
NPI:1386717411
Name:NEWCARE CHIROPRACTIC & REHAB
Entity type:Organization
Organization Name:NEWCARE CHIROPRACTIC & REHAB
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:R
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-241-0007
Mailing Address - Street 1:111 WELLINGTON PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-1758
Mailing Address - Country:US
Mailing Address - Phone:513-241-0007
Mailing Address - Fax:513-241-4957
Practice Address - Street 1:111 WELLINGTON PL
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-1758
Practice Address - Country:US
Practice Address - Phone:513-241-0007
Practice Address - Fax:513-241-4957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1518302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1518DC01OtherHUMANA
OH610598300OtherUS DEPARTMENT LABOR
OH00000019945OtherANTHEM BCBS
OH44-01501OtherUNITED HEALTHCARE
OH611378910001OtherBWCWORKERSMAN
OH44-01501OtherUNITED HEALTHCARE
OH1518DC01OtherHUMANA
OH1518DC01OtherHUMANA