Braun, Edward Victor
Braun, Edward Victor is an sole proprietor health care provider with primary practice located at 604 Main St. , Belgium WI 53004-0225. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Nutrition, Chiropractic Providers / Radiology, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Braun, Edward Victor can be contacted via phone (262) 285-3881.Contact Information
Primary practice address
604 Main St.
Belgium WI 53004-0225
Phone: (262) 285-3881
Fax: (262) 285-3881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Nutrition | 111NN1001X | 2133-012 | Wisconsin |
| Chiropractic Providers / Radiology | 111NR0200X | 2133-012 | Wisconsin |
| Chiropractic Providers / Chiropractor | 111N00000X | 2133-012 | Wisconsin |
Profile Details
| NPI number | 1194856070 |
|---|---|
| LBN Legal business name | Braun, Edward Victor |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Oct 9th, 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 | 1194856070 | NPPES |
| Wisconsin | MEDICAID | 100065894 | |
| Wisconsin | Other | 39-1584331 |
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