Grunert, Brad
Grunert, Brad is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Department Of Plastic Surgery, Milwaukee WI 53226-3522. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Grunert, Brad can be contacted via phone (414) 805-5858.Contact Information
Primary practice address
9200 W Wisconsin Ave Department Of Plastic Surgery
Milwaukee WI 53226-3522
Phone: (414) 805-5858
Fax: (414) 805-5850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 921 | Wisconsin |
Profile Details
| NPI number | 1588615330 |
|---|---|
| LBN Legal business name | Grunert, Brad |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Nov 22nd, 2013 - about 12 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 | 1588615330 | NPPES |
| Other | 002000220G | HUMANA | |
| MEDICAID | 1588615330 | HUMANA |
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