Dierschke, Brenda Jeanne
Dierschke, Brenda Jeanne is an individual health care provider with primary practice located at 820 E Grant St , Appleton WI 54911-3483. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Dierschke, Brenda Jeanne can be contacted via phone (920) 831-5050.Contact Information
Primary practice address
820 E Grant St
Appleton WI 54911-3483
Phone: (920) 831-5050
Fax: (920) 738-6400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 32439 | Wisconsin |
Profile Details
| NPI number | 1245381987 |
|---|---|
| LBN Legal business name | Dierschke, Brenda Jeanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Nov 13th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245381987 | NPPES |
| Wisconsin | MEDICAID | 31741700 |
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