Birling, Brooke
Birling, Brooke is an individual health care provider with primary practice located at 1420 Algoma St , New London WI 54961-2104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Birling, Brooke can be contacted via phone (920) 982-8300.Contact Information
Primary practice address
1420 Algoma St
New London WI 54961-2104
Phone: (920) 982-8300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2145-023 | Wisconsin |
Profile Details
| NPI number | 1063619336 |
|---|---|
| LBN Legal business name | Birling, Brooke |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2007 |
| Last updated | Mar 19th, 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 | 1063619336 | NPPES |
| Wisconsin | Other | 1075095 | NCCPA |
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