Brodish, Robert

Brodish, Robert is an individual health care provider with primary practice located at 1350 S Sunny Slope Rd , Brookfield WI 53005-7060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brodish, Robert can be contacted via phone (262) 798-8750.

Contact Information

Primary practice address
1350 S Sunny Slope Rd Brookfield WI 53005-7060
Fax: (262) 798-8730
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 36475 Wisconsin

Profile Details

NPI number 1164498549
LBN Legal business name Brodish, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Nov 21st, 2019 - about 5 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 1164498549 NPPES
Wisconsin MEDICAID 1164498549
Wisconsin MEDICAID 32139300

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