Healthcare Provider Details

I. General information

NPI: 1306964440
Provider Name (Legal Business Name): NEWCAP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 FLORENCE AVE
FLORENCE WI
54121
US

IV. Provider business mailing address

1201 MAIN ST
OCONTO WI
54153-1541
US

V. Phone/Fax

Practice location:
  • Phone: 715-528-4346
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT KOLLER
Title or Position: E
Credential:
Phone: 920-834-4621