Provider Demographics
NPI:1538358007
Name:NEW WOMEN'S HEALTHCARE, SC
Entity type:Organization
Organization Name:NEW WOMEN'S HEALTHCARE, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:GARVIN-CRESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-683-9865
Mailing Address - Street 1:716 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-3926
Mailing Address - Country:US
Mailing Address - Phone:920-683-9865
Mailing Address - Fax:
Practice Address - Street 1:300 E REED AVE
Practice Address - Street 2:
Practice Address - City:MANITOWOC
Practice Address - State:WI
Practice Address - Zip Code:54220-2123
Practice Address - Country:US
Practice Address - Phone:920-683-9865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI34329-020207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty