Bezier, Brian R

Bezier, Brian R is an individual health care provider with primary practice located at 410 S Walnut St , Appleton WI 54911-5920. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bezier, Brian R can be contacted via phone (920) 832-4741.

Contact Information

Primary practice address
410 S Walnut St Appleton WI 54911-5920
Phone: (920) 832-4741
Fax: (920) 832-2185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1972-057 Wisconsin

Profile Details

NPI number 1417131152
LBN Legal business name Bezier, Brian R
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2007
Last updated Dec 18th, 2007 - about 18 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 1417131152 NPPES
Wisconsin MEDICAID 39120900

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