Prososki, Bria Rayome
Prososki, Bria Rayome is an individual health care provider with primary practice located at 201 E Morrissy Dr , Elkhorn WI 53121-4395. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Prososki, Bria Rayome can be contacted via phone (262) 723-3100.Contact Information
Primary practice address
201 E Morrissy Dr
Elkhorn WI 53121-4395
Phone: (262) 723-3100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Wisconsin | |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 72307 | Wisconsin |
Profile Details
| NPI number | 1316423056 |
|---|---|
| LBN Legal business name | Prososki, Bria Rayome |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2018 |
| Last updated | Nov 30th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316423056 | NPPES |
| Wisconsin | MEDICAID | 100101823 |
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