Brueck, Katherine Ann
Brueck, Katherine Ann is an individual health care provider with primary practice located at 2727 W Mitchell St , Milwaukee WI 53215-2259. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brueck, Katherine Ann can be contacted via phone (414) 383-4039.Contact Information
Primary practice address
2727 W Mitchell St
Milwaukee WI 53215-2259
Phone: (414) 383-4039
Fax: (414) 383-3866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2424-154 | Wisconsin |
Profile Details
| NPI number | 1295949725 |
|---|---|
| LBN Legal business name | Brueck, Katherine Ann |
| Credentials | M.S.CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295949725 | NPPES |
| Wisconsin | MEDICAID | 42799600 |
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