Buntrock, Julie

Buntrock, Julie is an individual health care provider with primary practice located at 4855 S Moorland Rd , New Berlin WI 53151-7494. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Buntrock, Julie can be contacted via phone (262) 789-6020.

Contact Information

Primary practice address
4855 S Moorland Rd New Berlin WI 53151-7494
Fax: (262) 789-6025
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9992 Wisconsin

Profile Details

NPI number 1780202663
LBN Legal business name Buntrock, Julie
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2020
Last updated Mar 17th, 2023 - about last year

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 1780202663 NPPES
Wisconsin MEDICAID 1780202663

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