Provider Demographics
NPI:1275623787
Name:NEWBURN, STEPHEN E (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:E
Last Name:NEWBURN
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 1:4210 PIONEER WOODS DR. STE B
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-7550
Mailing Address - Country:US
Mailing Address - Phone:402-420-5373
Mailing Address - Fax:402-484-5677
Practice Address - Street 1:4210 PIONEER WOODS DR. STE B
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-7550
Practice Address - Country:US
Practice Address - Phone:402-420-5373
Practice Address - Fax:402-484-5677
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE991111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE4115OtherMIDLANDS CHOICE
NE91184960700Medicaid
NE36672OtherBLUE CROSS/BLUE SHIELD
NE91184960700Medicaid