Alvord, Brice
Alvord, Brice is an individual health care provider with primary practice located at 225 Memorial Dr , Berlin WI 54923-1243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Alvord, Brice can be contacted via phone (920) 361-5730.Contact Information
Primary practice address
225 Memorial Dr
Berlin WI 54923-1243
Phone: (920) 361-5730
Fax: (920) 361-5519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 62736-20 | Wisconsin |
Profile Details
| NPI number | 1679734669 |
|---|---|
| LBN Legal business name | Alvord, Brice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2008 |
| Last updated | Oct 24th, 2014 - about 11 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 | 1679734669 | NPPES |
| Wisconsin | MEDICAID | 1679734669 |
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