Blocher, Brian J
Blocher, Brian J is an individual health care provider with primary practice located at 201 N Mayfair Rd Suite 520, Wauwatosa WI 53226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Blocher, Brian J can be contacted via phone (414) 607-0222.Contact Information
Primary practice address
201 N Mayfair Rd Suite 520
Wauwatosa WI 53226
Phone: (414) 607-0222
Fax: (414) 607-0220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 4002 | Wisconsin |
Profile Details
| NPI number | 1457416299 |
|---|---|
| LBN Legal business name | Blocher, Brian J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | May 30th, 2013 - about 12 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 | 1457416299 | NPPES |
| Wisconsin | MEDICAID | 33683900 |
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