Brethauer, Mary K

Brethauer, Mary K is an individual health care provider with primary practice located at 1032 S Cesar E Chavez Dr , Milwaukee WI 53204-2203. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Brethauer, Mary K can be contacted via phone (414) 672-1353.

Contact Information

Primary practice address
1032 S Cesar E Chavez Dr Milwaukee WI 53204-2203
Phone: (414) 672-1353
Fax: (414) 672-4265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 80791-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 80791-032 Wisconsin

Profile Details

NPI number 1245270040
LBN Legal business name Brethauer, Mary K
Credentials CNM,RN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Mar 7th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245270040 NPPES
Wisconsin MEDICAID 39908300
Wisconsin Other 398727290007

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