Koudim, Bryan

Koudim, Bryan is an individual health care provider with primary practice located at 9047 W Greenfield Ave , Milwaukee WI 53214-2808. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as his primary health care specialty. Koudim, Bryan can be contacted via phone (414) 453-9290.

Contact Information

Primary practice address
9047 W Greenfield Ave Milwaukee WI 53214-2808
Phone: (414) 453-9290
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X 254819 Wisconsin

Profile Details

NPI number 1821540618
LBN Legal business name Koudim, Bryan
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2016
Last updated Oct 27th, 2016 - about 10 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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