Provider Demographics
NPI:1518144948
Name:NEWTON WHOLE HEALTH, LLC
Entity Type:Organization
Organization Name:NEWTON WHOLE HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:LYDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:781-455-0040
Mailing Address - Street 1:13 HIGHLAND CIRCLE SUITE E
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494
Mailing Address - Country:US
Mailing Address - Phone:781-455-0040
Mailing Address - Fax:781-455-7999
Practice Address - Street 1:13 HIGHLAND CIRCLE SUITE E
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494
Practice Address - Country:US
Practice Address - Phone:781-455-0040
Practice Address - Fax:781-455-7999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
3830317OtherAETNA
Y37061OtherBCBS OF MA
470477OtherTUFTS HEALTH PLAN
668803OtherACN
AA31221OtherHARVARD PILGRIM HEALTHCARE
AA31221OtherHARVARD PILGRIM HEALTHCARE
Y37061OtherBCBS OF MA