Brodish, Robert
Brodish, Robert is an individual health care provider with primary practice located at 1350 S Sunny Slope Rd , Brookfield WI 53005-7060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brodish, Robert can be contacted via phone (262) 798-8750.Contact Information
Primary practice address
1350 S Sunny Slope Rd
Brookfield WI 53005-7060
Phone: (262) 798-8750
Fax: (262) 798-8730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 36475 | Wisconsin |
Profile Details
| NPI number | 1164498549 |
|---|---|
| LBN Legal business name | Brodish, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Nov 21st, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164498549 | NPPES |
| Wisconsin | MEDICAID | 1164498549 | |
| Wisconsin | MEDICAID | 32139300 |
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