Obrochta, Brian John

Obrochta, Brian John is an individual health care provider with primary practice located at 3400 Union Ave , Sheboygan WI 53081-8426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Obrochta, Brian John can be contacted via phone (920) 828-2700.

Contact Information

Primary practice address
3400 Union Ave Sheboygan WI 53081-8426
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101018151 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 62405 Wisconsin

Profile Details

NPI number 1912136656
LBN Legal business name Obrochta, Brian John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2009
Last updated Oct 13th, 2023 - about last year

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 1912136656 NPPES
Wisconsin MEDICAID 100038829

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