Timothy Newton
Individual provider Active NPI Supports Brokerage Agency · Casnovia, MI
NPI 1134830227 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1134830227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Supports Brokerage Agency 251X00000X
- Practice address
- 115 Grand St
Casnovia, MI 49318-5106 - Phone
- (616) 210-0972
- NPI assigned
- Dec 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Supports Brokerage Agency | 251X00000X | Yes |
Addresses
Primary practice location
115 Grand St
Casnovia, MI 49318-5106
Mailing address
115 Grand St
Casnovia, MI 49318-5106
Phone (616) 210-0972
Other providers in Casnovia, MI
All providers in Casnovia, MI · Supports Brokerage Agency in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.