Provider Demographics
NPI:1083984801
Name:NEWTON, PAUL G (HIS)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:G
Last Name:NEWTON
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 SUPERIOR DR NW STE 104
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-1997
Mailing Address - Country:US
Mailing Address - Phone:507-282-2053
Mailing Address - Fax:888-702-7003
Practice Address - Street 1:2518 SUPERIOR DR NW STE 104
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-1997
Practice Address - Country:US
Practice Address - Phone:507-282-2053
Practice Address - Fax:888-702-7003
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2306237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist