Provider Demographics
NPI:1538307525
Name:NEWHOUSE, PATRICK W (DC,)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:W
Last Name:NEWHOUSE
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 1:2211 E 52ND ST STE D
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-2771
Mailing Address - Country:US
Mailing Address - Phone:563-940-9708
Mailing Address - Fax:563-514-5848
Practice Address - Street 1:2211 E 52ND ST STE D
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-2771
Practice Address - Country:US
Practice Address - Phone:563-940-9708
Practice Address - Fax:563-514-5848
Is Sole Proprietor?:No
Enumeration Date:2009-01-28
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007324111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor