Braza, Diane W
Braza, Diane W is an individual health care provider with primary practice located at 1155 N Mayfair Rd Spine Care Clinic At Plank Road, Milwaukee WI 53226-3421. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Braza, Diane W can be contacted via phone (414) 955-7199.Contact Information
Primary practice address
1155 N Mayfair Rd Spine Care Clinic At Plank Road
Milwaukee WI 53226-3421
Phone: (414) 955-7199
Fax: (414) 955-0110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 29706 | Wisconsin |
Profile Details
| NPI number | 1467404970 |
|---|---|
| LBN Legal business name | Braza, Diane W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Feb 8th, 2013 - 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 | 1467404970 | NPPES |
| Other | 002000176N | HUMANA | |
| MEDICAID | 1467404970 | HUMANA |
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