Fulleylove-Krause, Brett Keith

Fulleylove-Krause, Brett Keith is an individual health care provider with primary practice located at 252 Mchenry St , Burlington WI 53105-1828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fulleylove-Krause, Brett Keith can be contacted via phone (262) 767-6000.

Contact Information

Primary practice address
252 Mchenry St Burlington WI 53105-1828
Phone: (262) 767-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 81485 Wisconsin

Profile Details

NPI number 1922637172
LBN Legal business name Fulleylove-Krause, Brett Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2020
Last updated Oct 16th, 2023 - about 3 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 1922637172 NPPES
Wisconsin MEDICAID 100247019

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