Bruger, Bryanna
Bruger, Bryanna is an sole proprietor health care provider with primary practice located at 2901 W Kinnickinnic River Pkwy Ste 403 , Milwaukee WI 53215-3660. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Bruger, Bryanna can be contacted via phone (414) 385-8771.Contact Information
Primary practice address
2901 W Kinnickinnic River Pkwy Ste 403
Milwaukee WI 53215-3660
Phone: (414) 385-8771
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 5117-057 | Wisconsin |
Profile Details
| NPI number | 1275940504 |
|---|---|
| LBN Legal business name | Bruger, Bryanna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2014 |
| Last updated | Feb 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275940504 | NPPES |
| Wisconsin | MEDICAID | 100263320 |
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