Bozelka, Brian E

Bozelka, Brian E is an individual health care provider with primary practice located at 1400 University Drive , Marinette WI 54143-0046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bozelka, Brian E can be contacted via phone (715) 732-4181.

Contact Information

Primary practice address
1400 University Drive Marinette WI 54143-0046
Phone: (715) 732-4181
Fax: (715) 732-1348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35480020 Wisconsin

Profile Details

NPI number 1003981994
LBN Legal business name Bozelka, Brian E
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated Mar 9th, 2016 - about 8 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 1003981994 NPPES
Wisconsin MEDICAID 32039400

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