Webster, Bryan J
Webster, Bryan J is an individual health care provider with primary practice located at 251 E Cottage Grove Rd , Cottage Grove WI 53527-9619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Webster, Bryan J can be contacted via phone (608) 839-3515.Contact Information
Primary practice address
251 E Cottage Grove Rd
Cottage Grove WI 53527-9619
Phone: (608) 839-3515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 56729-20 | Wisconsin |
Profile Details
| NPI number | 1275845497 |
|---|---|
| LBN Legal business name | Webster, Bryan J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2010 |
| Last updated | Nov 2nd, 2020 - about 5 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 | 1275845497 | NPPES |
| Wisconsin | MEDICAID | 1275845497 |
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