Brovold, Jessie Rae
Brovold, Jessie Rae is an individual health care provider with primary practice located at 1111 Delafield St 120, Waukesha WI 53188-3417. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Brovold, Jessie Rae can be contacted via phone (262) 544-5311.Contact Information
Primary practice address
1111 Delafield St 120
Waukesha WI 53188-3417
Phone: (262) 544-5311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 655-039 | Wisconsin |
Profile Details
| NPI number | 1255326831 |
|---|---|
| LBN Legal business name | Brovold, Jessie Rae |
| Credentials | ATC, ATR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Apr 28th, 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.
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