Provider Demographics
NPI:1801532627
Name:NEWTON, ALLISON ELAINE
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:ELAINE
Last Name:NEWTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 FRUIT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MOSCOW
Mailing Address - State:OH
Mailing Address - Zip Code:45153-9738
Mailing Address - Country:US
Mailing Address - Phone:513-488-2558
Mailing Address - Fax:
Practice Address - Street 1:1140 FRUIT RIDGE RD
Practice Address - Street 2:
Practice Address - City:MOSCOW
Practice Address - State:OH
Practice Address - Zip Code:45153-9738
Practice Address - Country:US
Practice Address - Phone:513-488-2558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide