Fulleylove-Krause, Brett Keith
Fulleylove-Krause, Brett Keith is an individual health care provider with primary practice located at 252 Mchenry St , Burlington WI 53105-1828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fulleylove-Krause, Brett Keith can be contacted via phone (262) 767-6000.Contact Information
Primary practice address
252 Mchenry St
Burlington WI 53105-1828
Phone: (262) 767-6000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 81485 | Wisconsin |
Profile Details
NPI number | 1922637172 |
---|---|
LBN Legal business name | Fulleylove-Krause, Brett Keith |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 8th, 2020 |
Last updated | Oct 16th, 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 | 1922637172 | NPPES |
Wisconsin | MEDICAID | 100247019 |
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