Haugstad, Bradley N

Haugstad, Bradley N is an individual health care provider with primary practice located at 6308 8Th Ave , Kenosha WI 53143-5031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Haugstad, Bradley N can be contacted via phone (262) 656-2011.

Contact Information

Primary practice address
6308 8Th Ave Kenosha WI 53143-5031
Phone: (262) 656-2011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35753-020 Wisconsin

Profile Details

NPI number 1841273653
LBN Legal business name Haugstad, Bradley N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Feb 14th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841273653 NPPES
Wisconsin MEDICAID 32061300
Wisconsin Other P00338880

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