Provider Demographics
NPI:1548483233
Name:NEWMAN, ERIC STEPHEN (ATC)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:STEPHEN
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 NORTHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-1521
Mailing Address - Country:US
Mailing Address - Phone:937-454-0922
Mailing Address - Fax:937-454-0922
Practice Address - Street 1:3510 NORTHFIELD RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-1521
Practice Address - Country:US
Practice Address - Phone:937-454-0922
Practice Address - Fax:937-454-0922
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0008632255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer