Brossard, Bradley Richard

Brossard, Bradley Richard is an individual health care provider with primary practice located at 410 Dewey St , Wisconsin Rapids WI 54494-4715. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Brossard, Bradley Richard can be contacted via phone (608) 289-5228.

Contact Information

Primary practice address
410 Dewey St Wisconsin Rapids WI 54494-4715
Phone: (608) 289-5228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10458-33 Wisconsin

Profile Details

NPI number 1457968687
LBN Legal business name Brossard, Bradley Richard
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2020
Last updated Feb 3rd, 2021 - about 5 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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