Huckstorf, Brian L
Huckstorf, Brian L is an individual health care provider with primary practice located at 725 American Ave Suite 5, Waukesha WI 53188-5031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Huckstorf, Brian L can be contacted via phone (262) 928-2475.Contact Information
Primary practice address
725 American Ave Suite 5
Waukesha WI 53188-5031
Phone: (262) 928-2475
Fax: (262) 928-5697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 44448-020 | Wisconsin |
Profile Details
| NPI number | 1447236492 |
|---|---|
| LBN Legal business name | Huckstorf, Brian L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Jan 28th, 2014 - about 11 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 | 1447236492 | NPPES |
| West Virginia | MEDICAID | 34207500 |
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