Braker, J Christopher
Braker, J Christopher is an individual health care provider with primary practice located at 2717 N Grandview Blvd , Waukesha WI 53188. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Braker, J Christopher can be contacted via phone (262) 549-6649.Contact Information
Primary practice address
2717 N Grandview Blvd
Waukesha WI 53188
Phone: (262) 549-6649
Fax: (262) 784-7936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2935020 | Wisconsin |
Profile Details
| NPI number | 1770558876 |
|---|---|
| LBN Legal business name | Braker, J Christopher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1770558876 | NPPES |
| Wisconsin | MEDICAID | 30381500 |
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