Bresnahan, Jill M

Bresnahan, Jill M is an sole proprietor health care provider with primary practice located at 2524 E Webster Pl #301, Milwaukee WI 53211-4256. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bresnahan, Jill M can be contacted via phone (414) 272-7009.

Contact Information

Primary practice address
2524 E Webster Pl #301 Milwaukee WI 53211-4256
Fax: (414) 272-6261
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 38803 Wisconsin

Profile Details

NPI number 1023064912
LBN Legal business name Bresnahan, Jill M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Jan 18th, 2011 - about 15 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 1023064912 NPPES
Wisconsin MEDICAID 32496500

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