Provider Demographics
NPI:1134128598
Name:NEWHART, WILLIAM F (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:F
Last Name:NEWHART
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 N RIVER ST
Mailing Address - Street 2:
Mailing Address - City:PLAINS
Mailing Address - State:PA
Mailing Address - Zip Code:18705-1311
Mailing Address - Country:US
Mailing Address - Phone:570-822-4484
Mailing Address - Fax:570-822-4482
Practice Address - Street 1:34 N RIVER ST
Practice Address - Street 2:
Practice Address - City:PLAINS
Practice Address - State:PA
Practice Address - Zip Code:18705-1311
Practice Address - Country:US
Practice Address - Phone:570-822-4484
Practice Address - Fax:570-822-4482
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-005484L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015554300002Medicaid
PA1014279OtherASH NETWORK
PA815283OtherFIRST PRIORITY HEALTH
PA0686186000OtherINDEPENDENT BLUE CROSS
PA1640142OtherFPLIC BLUE CARE
PA23388OtherGEISINGER HEALTH PLAN
PA1640142OtherHIGHMARK BLUE SHIELD
PA000512906OtherHIGHMARK FREEDOM BLUE
PA1014279OtherASH NETWORK
PA000512906OtherHIGHMARK FREEDOM BLUE