Brusse, Kevin Jon

Brusse, Kevin Jon is an sole proprietor health care provider with primary practice located at 2629 N 7Th St , Sheboygan WI 53083-4932. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Brusse, Kevin Jon can be contacted via phone (920) 451-5000.

Contact Information

Primary practice address
2629 N 7Th St Sheboygan WI 53083-4932
Phone: (920) 451-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 9888 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 9888 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9888-024 Wisconsin

Profile Details

NPI number 1992929582
LBN Legal business name Brusse, Kevin Jon
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2007
Last updated Dec 8th, 2021 - 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 1992929582 NPPES
Wisconsin MEDICAID 40471600

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