Martin, Bruce

Martin, Bruce is an individual health care provider with primary practice located at 4065 N 35Th St , Milwaukee WI 53216. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Martin, Bruce can be contacted via phone (414) 445-9180.

Contact Information

Primary practice address
4065 N 35Th St Milwaukee WI 53216
Phone: (414) 445-9180
Fax: (414) 445-5995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 1045027 Wisconsin

Profile Details

NPI number 1942318092
LBN Legal business name Martin, Bruce
Credentials COJA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1942318092 NPPES
Wisconsin MEDICAID 40757100

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