Brotcke, Amy Beth

Brotcke, Amy Beth is an individual health care provider with primary practice located at 305 S Clark St , Mayville WI 53050-1488. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Brotcke, Amy Beth can be contacted via phone (920) 387-1370.

Contact Information

Primary practice address
305 S Clark St Mayville WI 53050-1488
Fax:
Website:

Health care specialties

Profile Details

NPI number 1881800134
LBN Legal business name Brotcke, Amy Beth
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 9th, 2007 - about 17 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 1881800134 NPPES
Wisconsin MEDICAID 40841000

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