Bulkow, Brad William

Bulkow, Brad William is an individual health care provider with primary practice located at 8520 W Oklahoma Ave , West Allis WI 53227-4604. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bulkow, Brad William can be contacted via phone (414) 607-4120.

Contact Information

Primary practice address
8520 W Oklahoma Ave West Allis WI 53227-4604
Phone: (414) 607-4120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6283-024 Wisconsin

Profile Details

NPI number 1538334990
LBN Legal business name Bulkow, Brad William
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 17 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 1538334990 NPPES
Wisconsin MEDICAID 40397000
Wisconsin Other 6283-024

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