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

Primary practice address
1424 Cherry St Wausau WI 54401-2538
Phone: (715) 675-6267
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548435472 NPPES
Wisconsin MEDICAID 38324200

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