Brenowitz, Jerold Barry

Brenowitz, Jerold Barry is an individual health care provider with primary practice located at 2315 N Lake Dr 703, Milwaukee WI 53211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Brenowitz, Jerold Barry can be contacted via phone (414) 271-5119.

Contact Information

Primary practice address
2315 N Lake Dr 703 Milwaukee WI 53211
Phone: (414) 271-5119
Fax: (414) 271-3756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X Wisconsin

Profile Details

NPI number 1639144595
LBN Legal business name Brenowitz, Jerold Barry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1639144595 NPPES
Wisconsin MEDICAID 30326200

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