Walcott, Brian P

Walcott, Brian P is an individual health care provider with primary practice located at 9555 76Th St , Pleasant Prairie WI 53158-1984. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Walcott, Brian P can be contacted via phone (262) 671-7710.

Contact Information

Primary practice address
9555 76Th St Pleasant Prairie WI 53158-1984
Phone: (262) 671-7710
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036.149400 Illinois

Profile Details

NPI number 1093975500
LBN Legal business name Walcott, Brian P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Dec 4th, 2023 - about 3 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 1093975500 NPPES
Illinois Other 036149400 STATE LICENSE
Illinois Other A136268 STATE LICENSE

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