Healthcare Provider Details

I. General information

NPI: 1730207879
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

226 HIGHWAY 70 E
ST. GERMAIN WI
54558
US

IV. Provider business mailing address

1201 MAIN ST
OCONTO WI
54153-1541
US

V. Phone/Fax

Practice location:
  • Phone: 715-479-3357
  • 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: EXECUTIVE DIRECTOR
Credential:
Phone: 920-834-4621