DR. JACK EDWARD NEWSOME JR. (NPI# 1356384879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356384879 |
| Entity Type | Individual |
| Full Name | DR. JACK EDWARD NEWSOME JR. |
| Credential | D.C. |
| Practice Address |
21 S Commerce St Liberty SC 29657-1132 |
| Mailing Address |
307 W Front St Liberty SC 29657-1011 |
| Practice Telephone | 8645061749 |
| Mailing Telephone | 8645061749 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 2259 | SC | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | CH 7705 | FL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124169354 | Jack D Newsome | Counselor | 732 Washington Ave, Pocatello, ID 83201-3748 | 2007-02-09 |
| Street Address |
21 S COMMERCE ST |
| City | LIBERTY |
| State | SC |
| Zip Code | 29657-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508233206 | Healing Grace Childbirth Services, LLC | Doula | 306 Burgess Rd, Liberty, SC 29657 | 2015-08-28 |
| 1124428016 | Mustang Medicine Works, LLC | Counselor | 5642 Moorefield Memorial Hwy., Liberty, SC 29657 | 2014-08-27 |
| 1336499706 | Waiyung Florence Ho | Pharmacist | 305 W.main Street, Liberty, SC 29657 | 2012-09-13 |
| 1679822639 | Jennifer Andrews Letourneau | Pharmacist | 305 W.main St, Liberty, SC 29657 | 2012-09-06 |
| 1912256025 | Freddie Honchar | Pharmacist | 429 East Main Street, Liberty, SC 29657 | 2012-09-05 |
| 1720096704 | Emerson Wiggins Rabon Jr. | Dentist | 1074 Anderson Dr, Liberty, SC 29657 | 2006-08-04 |
| 1811476013 | Kathryn Juanita Morrow | Nurse Practitioner | 300 W Front St, Liberty, SC 29657 | 2018-08-08 |
| 1184680134 | James L Wilson | Dentist | 207 W Front St, Liberty, SC 29657-1009 | 2006-04-26 |
| 1154605624 | Bright Smile Center - Liberty, Pa | Dentist | 207 W Front St, Liberty, SC 29657-1009 | 2011-10-03 |
| 1932376035 | Liberty Dental Care, Inc. | Clinic/Center | 207 W Front St, Liberty, SC 29657-1009 | 2008-05-08 |
| Find all providers in zip 29657 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730466 | Inline Chiropractic Center, LLC | Chiropractor | 244 W Mill St Ste 105, Liberty, MO 64068-2398 | 2020-11-04 |
| 1992352306 | Chandra Arne-hildebrand | Chiropractor | 239 S Stewart Rd, Liberty, MO 64068-4206 | 2019-08-20 |
| 1568979342 | Samantha Jo Stokes | Chiropractor | 1508 Ne 96th St Ste B, Liberty, MO 64068-1396 | 2018-01-03 |
| 1063952935 | Kathleen F Brandt | Chiropractor | 10 Hanofee Dr., Liberty, NY 12754 | 2017-02-27 |
| 1740649284 | Garrett Smith | Chiropractor | 527 N 291 Hwy Ste B, Liberty, MO 64068-1071 | 2016-02-11 |
| 1700207933 | Gibson Chiropractic Clinic Jodi Pedersen General Partner | Chiropractor | 28b Westwoods Dr, Liberty, MO 64068-3519 | 2013-12-13 |
| 1407101140 | Weathers Chiropractic Center Pllc | Chiropractor | 128 West Broken St, Liberty, MS 39645 | 2012-07-18 |
| 1144521303 | David Antonio Medina | Chiropractor | 69 Hustonville St., Liberty, KY 42539 | 2010-11-04 |
| 1508170887 | Tyler Lee Frame | Chiropractor | 899 S State Road 101, Liberty, IN 47353-9045 | 2010-07-29 |
| 1649583550 | Alvin J. Richard, PC | Chiropractor | 2720 N. Main Street, Liberty, TX 77575-3909 | 2010-07-20 |
| Find all providers in LIBERTY | ||||
Please comment or provide details below to improve the information on DR. JACK EDWARD NEWSOME JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.