Individual
THOMAS J NEWBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
777 N WOLFENBERGER ST, SULLIVAN, IN 47882-7242
(812) 230-9055
Mailing address
777 N WOLFENBERGER ST, SULLIVAN, IN 47882-7242
(812) 230-9055
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001634A
IN
111N00000X
Chiropractor
08001643A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000340406
ANTHEM
IN
Enumeration date
09/23/2005
Last updated
06/20/2024
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