Brotzman, Joline

Brotzman, Joline is an sole proprietor health care provider with primary practice located at 459 E 1St St , Fond Du Lac WI 54935-4505. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Brotzman, Joline can be contacted via phone (920) 922-3324.

Contact Information

Primary practice address
459 E 1St St Fond Du Lac WI 54935-4505
Phone: (920) 922-3324
Fax: (920) 929-3129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5048-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5048-33 Wisconsin

Profile Details

NPI number 1578813606
LBN Legal business name Brotzman, Joline
Credentials MS, RN, PMHCNS-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2012
Last updated May 7th, 2024 - about 2 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 1578813606 NPPES
Wisconsin MEDICAID 100084008
Wisconsin MEDICAID 100026161

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