Provider Demographics
NPI:1720426034
Name:NEWELL, EUGENE EARL JR (DC)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:EARL
Last Name:NEWELL
Suffix:JR
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 1:2580 SAN RAMON VALLEY BLVD STE B-110
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1638
Mailing Address - Country:US
Mailing Address - Phone:925-830-2922
Mailing Address - Fax:
Practice Address - Street 1:2580 SAN RAMON VALLEY BLVD STE B-110
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1638
Practice Address - Country:US
Practice Address - Phone:925-830-2922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-08
Last Update Date:2013-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13850111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor