Branham, Roger V

Branham, Roger V is an individual health care provider with primary practice located at 1035 N Main St , Rice Lake WI 54868-1260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Branham, Roger V can be contacted via phone (715) 234-9018.

Contact Information

Primary practice address
1035 N Main St Rice Lake WI 54868-1260
Phone: (715) 234-9018
Fax: (715) 236-7535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 18971 Wisconsin

Profile Details

NPI number 1437243151
LBN Legal business name Branham, Roger V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Apr 1st, 2021 - about 5 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 1437243151 NPPES
Wisconsin MEDICAID 30189200
Wisconsin MEDICAID 2055052
Wisconsin MEDICAID 32708700

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