O'Brien-Bruce, Moira E.

O'Brien-Bruce, Moira E. is an individual health care provider with primary practice located at 2085 N. Calhoun Road Prohealth Care Medical Associates, Inc., Brookfield WI 53005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. O'Brien-Bruce, Moira E. can be contacted via phone (262) 928-7100.

Contact Information

Primary practice address
2085 N. Calhoun Road Prohealth Care Medical Associates, Inc. Brookfield WI 53005
Phone: (262) 928-7100
Fax: (262) 513-7111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25132 Wisconsin

Profile Details

NPI number 1891768370
LBN Legal business name O'Brien-Bruce, Moira E.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Nov 9th, 2011 - about 14 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 1891768370 NPPES
Wisconsin MEDICAID 30019200

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