Engelhardt, Brooke Michelle
Engelhardt, Brooke Michelle is an individual health care provider with primary practice located at N27W5707 Lincoln Blvd , Cedarburg WI 53012-2852. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Engelhardt, Brooke Michelle can be contacted via phone (262) 376-7676.Contact Information
Primary practice address
N27W5707 Lincoln Blvd
Cedarburg WI 53012-2852
Phone: (262) 376-7676
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 4319-026 | Wisconsin |
Profile Details
| NPI number | 1326269952 |
|---|---|
| LBN Legal business name | Engelhardt, Brooke Michelle |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1326269952 | NPPES |
| Wisconsin | MEDICAID | 40896000 |
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