Provider Demographics
NPI:1558359455
Name:NEWCOMER, SCOTT DAVID (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:DAVID
Last Name:NEWCOMER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10068 W LOOMIS RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-8109
Mailing Address - Country:US
Mailing Address - Phone:414-525-9895
Mailing Address - Fax:262-257-9502
Practice Address - Street 1:10068 W LOOMIS RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-8109
Practice Address - Country:US
Practice Address - Phone:414-525-9895
Practice Address - Fax:262-257-9502
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-13
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2260012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI70545Medicare ID - Type Unspecified
T62870Medicare UPIN