Individual
ROCKY NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1804 S EDDY ST, GRAND ISLAND, NE 68801-7114
(308) 384-7896
Mailing address
1804 S EDDY ST, GRAND ISLAND, NE 68801-7114
(308) 384-7896
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470522836
—
NE
Enumeration date
04/15/2014
Last updated
04/15/2014
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