Demaster, Brian J
Demaster, Brian J is an individual health care provider with primary practice located at 313 S Main St , Cedar Grove WI 53013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Demaster, Brian J can be contacted via phone (920) 668-8502.Contact Information
Primary practice address
313 S Main St
Cedar Grove WI 53013
Phone: (920) 668-8502
Fax: (920) 668-8093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34619 | Wisconsin |
Profile Details
| NPI number | 1043325293 |
|---|---|
| LBN Legal business name | Demaster, Brian J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043325293 | NPPES |
| Wisconsin | MEDICAID | 32539500 |
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