Provider Demographics
NPI:1861268377
Name:NEWKIRK, MICHAEL II
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:NEWKIRK
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87480 AMSTERDAM RD
Mailing Address - Street 2:
Mailing Address - City:JEWETT
Mailing Address - State:OH
Mailing Address - Zip Code:43986-9526
Mailing Address - Country:US
Mailing Address - Phone:740-491-8354
Mailing Address - Fax:
Practice Address - Street 1:87480 AMSTERDAM RD
Practice Address - Street 2:
Practice Address - City:JEWETT
Practice Address - State:OH
Practice Address - Zip Code:43986-9526
Practice Address - Country:US
Practice Address - Phone:740-491-8354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide