Bruder, Alicia Marie

Bruder, Alicia Marie is an sole proprietor health care provider with primary practice located at 219 River Ave S , Prairie Farm WI 54762-9786. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Bruder, Alicia Marie can be contacted via phone (715) 455-1166.

Contact Information

Primary practice address
219 River Ave S Prairie Farm WI 54762-9786
Phone: (715) 455-1166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 12453-146 Wisconsin

Profile Details

NPI number 1487066338
LBN Legal business name Bruder, Alicia Marie
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2014
Last updated May 27th, 2014 - about 12 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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