Bruster, Eric J.

Bruster, Eric J. is an individual health care provider with primary practice located at S74W16775 Janesville Rd , Muskego WI 53150. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Bruster, Eric J. can be contacted via phone (414) 773-4312.

Contact Information

Primary practice address
S74W16775 Janesville Rd Muskego WI 53150
Phone: (414) 773-4312
Fax: (414) 422-2188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00716 Iowa
Behavioral Health & Social Service Providers / Clinical 103TC0700X 00716 Iowa
Behavioral Health & Social Service Providers / Health Service 103TH0100X 00280 Iowa
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3597 Wisconsin

Profile Details

NPI number 1720128523
LBN Legal business name Bruster, Eric J.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Aug 26th, 2020 - about 5 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 1720128523 NPPES
Wisconsin MEDICAID 100083826
Wisconsin MEDICAID 420716337

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