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
Health care specialties
Specialty | Code | License # | 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 4 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 | 1992929582 | NPPES |
Wisconsin | MEDICAID | 40471600 |
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