Bruckert, Heidi Marie

Bruckert, Heidi Marie is an individual health care provider with primary practice located at 1300 E Green Bay St , Shawano WI 54166-2210. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bruckert, Heidi Marie can be contacted via phone (715) 201-0870.

Contact Information

Primary practice address
1300 E Green Bay St Shawano WI 54166-2210
Phone: (715) 201-0870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 126356-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 8675-33 Wisconsin

Profile Details

NPI number 1831681402
LBN Legal business name Bruckert, Heidi Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2018
Last updated Sep 13th, 2018 - about 8 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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