Provider Demographics
NPI:1891152914
Name:NEWMAN, SEAN NICHOLAS
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:NICHOLAS
Last Name:NEWMAN
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 1:3065 OLD OLYMPIC HWY
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-9137
Mailing Address - Country:US
Mailing Address - Phone:805-798-0539
Mailing Address - Fax:
Practice Address - Street 1:411 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3343
Practice Address - Country:US
Practice Address - Phone:360-452-3221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health