Provider Demographics
NPI:1750370094
Name:NEWTON, ROBERT CHRISTOPHER (DC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:CHRISTOPHER
Last Name:NEWTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 588
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38557-0588
Mailing Address - Country:US
Mailing Address - Phone:931-707-7871
Mailing Address - Fax:931-707-7871
Practice Address - Street 1:3357 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-5455
Practice Address - Country:US
Practice Address - Phone:931-707-7871
Practice Address - Fax:931-707-7871
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC00000001295111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3679677Medicaid
TN3151302OtherBCBS
TN3679677Medicaid
TN3679677Medicare ID - Type Unspecified