Hirsch, Brian R

Hirsch, Brian R is an individual health care provider with primary practice located at 4855 S Moorland Rd Ste 150 , New Berlin WI 53151-7495. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hirsch, Brian R can be contacted via phone (414) 425-5660.

Contact Information

Primary practice address
4855 S Moorland Rd Ste 150 New Berlin WI 53151-7495
Phone: (414) 425-5660
Fax: (414) 425-9803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 72635-20 Wisconsin

Profile Details

NPI number 1417941097
LBN Legal business name Hirsch, Brian R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jul 6th, 2022 - about 3 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 1417941097 NPPES
Wisconsin MEDICAID 1417941097

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