Newcomb, Acacia Louise

Newcomb, Acacia Louise is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Newcomb, Acacia Louise can be contacted via phone (414) 266-6820.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226-4874
Phone: (414) 266-6820
Fax: (414) 266-6979
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 1024933 Wisconsin

Profile Details

NPI number 1306458013
LBN Legal business name Newcomb, Acacia Louise
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2020
Last updated Apr 8th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306458013 NPPES
Wisconsin MEDICAID 1306458013

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