Blocher, Brian J

Blocher, Brian J is an individual health care provider with primary practice located at 201 N Mayfair Rd Suite 520, Wauwatosa WI 53226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Blocher, Brian J can be contacted via phone (414) 607-0222.

Contact Information

Primary practice address
201 N Mayfair Rd Suite 520 Wauwatosa WI 53226
Phone: (414) 607-0222
Fax: (414) 607-0220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 4002 Wisconsin

Profile Details

NPI number 1457416299
LBN Legal business name Blocher, Brian J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated May 30th, 2013 - about 13 years 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 1457416299 NPPES
Wisconsin MEDICAID 33683900

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