Charous, Bruce Lauren

Charous, Bruce Lauren is an individual health care provider with primary practice located at 3003 W Good Hope Rd , Milwaukee WI 53209-2042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Charous, Bruce Lauren can be contacted via phone (414) 352-3100.

Contact Information

Primary practice address
3003 W Good Hope Rd Milwaukee WI 53209-2042
Phone: (414) 352-3100
Fax: (414) 247-4597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 26268 Wisconsin

Profile Details

NPI number 1356387419
LBN Legal business name Charous, Bruce Lauren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Apr 1st, 2013 - about 11 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 1356387419 NPPES
Wisconsin Other P01142239 RR MEDICARE
Wisconsin MEDICAID 30596100 RR MEDICARE

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