Brotanek, Jane M

Brotanek, Jane M is an individual health care provider with primary practice located at 38B Grove Street Ridgefield Pediatric Associates, Ridgefield CT 06877. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brotanek, Jane M can be contacted via phone (203) 438-9557.

Contact Information

Primary practice address
38B Grove Street Ridgefield Pediatric Associates Ridgefield CT 06877
Phone: (203) 438-9557
Fax: (203) 438-7857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 47361 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 050206 Connecticut

Profile Details

NPI number 1427053032
LBN Legal business name Brotanek, Jane M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Mar 7th, 2023 - about 3 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 1427053032 NPPES
Wisconsin MEDICAID 34580500
Wisconsin Other 02162343
Wisconsin Other 605885158003
Wisconsin Other 7189387

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