Tick, David Bruce
Tick, David Bruce is an sole proprietor health care provider with primary practice located at 216 Green Bay Rd Ste 109 , Thiensville WI 53092. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Tick, David Bruce can be contacted via phone (262) 241-5414.Contact Information
Primary practice address
216 Green Bay Rd Ste 109
Thiensville WI 53092
Phone: (262) 241-5414
Fax: (262) 241-5425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34022 | Virginia |
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 34022 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34022 | Wisconsin |
Profile Details
| NPI number | 1972571313 |
|---|---|
| LBN Legal business name | Tick, David Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2006 |
| Last updated | May 17th, 2018 - about 8 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 | 1972571313 | NPPES |
| Wisconsin | Other | 110174900 | RAILROAD MEDICARE |
| Wisconsin | Other | 33540257 | RAILROAD MEDICARE |
| Wisconsin | MEDICAID | 31891200 | RAILROAD MEDICARE |
| Wisconsin | Other | 050577505014 | RAILROAD MEDICARE |
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