Charles E Newby, DC
Individual provider Active NPI Chiropractor · Iron River, MI
NPI 1730199324 · NPPES record last updated Oct 10, 2011
Key facts
- NPI
- 1730199324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CN003047 (MI)
- Practice address
- 415 N River Ave
Iron River, MI 49935-1442 - Phone
- (906) 265-5175
- Fax
- (906) 265-6575
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CN003047 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin Michigan Physicians, SC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CN003047 | MI | Yes |
Addresses
Primary practice location
415 N River Ave
Iron River, MI 49935-1442
Mailing address
415 N River Ave
Iron River, MI 49935-1442
Phone (906) 265-5175
Other providers in Iron River, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2011. 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.