Burkart, Bradley Gerard

Burkart, Bradley Gerard is an sole proprietor health care provider with primary practice located at Bldg 4 2 30 North 18Th Avenue, Sturgeon Bay WI 54235-3207. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Burkart, Bradley Gerard can be contacted via phone (920) 743-6668.

Contact Information

Primary practice address
Bldg 4 2 30 North 18Th Avenue Sturgeon Bay WI 54235-3207
Phone: (920) 743-6668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 747-025 Wisconsin

Profile Details

NPI number 1528281862
LBN Legal business name Burkart, Bradley Gerard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Jun 16th, 2016 - about 9 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 1528281862 NPPES
Wisconsin MEDICAID 43223600
Wisconsin Other P01633669

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