Brelie, Matthew

Brelie, Matthew is an individual health care provider with primary practice located at 1700 Tuttle St , Baraboo WI 53913-3319. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Brelie, Matthew can be contacted via phone (608) 355-3800.

Contact Information

Primary practice address
1700 Tuttle St Baraboo WI 53913-3319
Phone: (608) 355-3800
Fax: (608) 355-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 15433-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 15433-033 Wisconsin

Profile Details

NPI number 1568292373
LBN Legal business name Brelie, Matthew
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2024
Last updated Sep 10th, 2024 - about 2 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 1568292373 NPPES
Wisconsin MEDICAID 1568292373

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