Brouette, Michael E

Brouette, Michael E is an individual health care provider with primary practice located at 2825 Hunters Trl , Portage WI 53901-3429. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Brouette, Michael E can be contacted via phone (608) 742-7161.

Contact Information

Primary practice address
2825 Hunters Trl Portage WI 53901-3429
Phone: (608) 742-7161
Fax: (608) 745-3990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1860023 Wisconsin

Profile Details

NPI number 1437132669
LBN Legal business name Brouette, Michael E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Nov 4th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437132669 NPPES
Wisconsin MEDICAID 1437132669

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