Koenig, Bradley Neil
Koenig, Bradley Neil is an sole proprietor health care provider with primary practice located at 1424 Cherry St , Wausau WI 54401-2538. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health. Nursing Service Providers / Registered Nurse is his primary health care specialty. Koenig, Bradley Neil can be contacted via phone (715) 675-6267.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 157300 | Wisconsin |
| Nursing Service Providers / Home Health | 163WH0200X | 157300 | Wisconsin |
Profile Details
| NPI number | 1548435472 |
|---|---|
| LBN Legal business name | Koenig, Bradley Neil |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | Apr 22nd, 2008 - about 16 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 | 1548435472 | NPPES |
| Wisconsin | MEDICAID | 38324200 |
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