Brockman, Melissa A

Brockman, Melissa A is an individual health care provider with primary practice located at 1510 Fremont St , Algoma WI 54201-1948. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Brockman, Melissa A can be contacted via phone (920) 487-3676.

Contact Information

Primary practice address
1510 Fremont St Algoma WI 54201-1948
Phone: (920) 487-3676
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5171024 Wisconsin

Profile Details

NPI number 1083624712
LBN Legal business name Brockman, Melissa A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 19 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 1083624712 NPPES
Wisconsin Other 5171024 LICENSE

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