Brunner, Robert
Brunner, Robert is an sole proprietor health care provider with primary practice located at 1020 Lakeshore Dr , Rice Lake WI 54868. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Brunner, Robert can be contacted via phone (715) 236-8100.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1618 | Wisconsin |
Profile Details
| NPI number | 1649387903 |
|---|---|
| LBN Legal business name | Brunner, Robert |
| Credentials | MSW LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649387903 | NPPES |
| Wisconsin | MEDICAID | 39658400 |
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