Provider Demographics
NPI:1366007593
Name:NEWSOME AND ASSOCIATES, INC
Entity Type:Organization
Organization Name:NEWSOME AND ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:FREDRICK
Authorized Official - Last Name:NEWSOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-931-4538
Mailing Address - Street 1:3181 POPLAR AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-3524
Mailing Address - Country:US
Mailing Address - Phone:773-931-4538
Mailing Address - Fax:
Practice Address - Street 1:3181 POPLAR AVE STE 215
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-3524
Practice Address - Country:US
Practice Address - Phone:773-931-4538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies