Tick, David Bruce
Tick, David Bruce is an sole proprietor health care provider with primary practice located at 216 Green Bay Rd Ste 109 , Thiensville WI 53092. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Tick, David Bruce can be contacted via phone (262) 241-5414.Contact Information
Primary practice address
216 Green Bay Rd Ste 109
Thiensville WI 53092
Phone: (262) 241-5414
Fax: (262) 241-5425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34022 | Virginia |
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 34022 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34022 | Wisconsin |
Profile Details
| NPI number | 1972571313 |
|---|---|
| LBN Legal business name | Tick, David Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2006 |
| Last updated | May 17th, 2018 - about 6 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 | 1972571313 | NPPES |
| Wisconsin | Other | 110174900 | RAILROAD MEDICARE |
| Wisconsin | Other | 33540257 | RAILROAD MEDICARE |
| Wisconsin | MEDICAID | 31891200 | RAILROAD MEDICARE |
| Wisconsin | Other | 050577505014 | RAILROAD MEDICARE |
Popular Providers
-
Mena, Rosa M.
21216 Olean Blvd Ste 8, Port Charlotte FL 33952-6722 -
Leavitt, Jennifer L
2900 Emerson Ave , Parkersburg WV 26104-2519 -
Mitrane, Donald
77 Sutphin Pnes , Yardley PA 19067-3460 -
Villanueva, Roberto Manuel
1240 Jesse Jewell Pkwy Se Suite 500, Gainesville GA 30501-3862 -
Morrison, Bennett T
2901 Olney Sandy Spring Rd , Olney MD 20832-1521 -
Halstead, Philip W
602 S Atwood Rd Suite 101, Bel Air MD 21014-4172 -
Mabry, Robert Timothy
2501 Kentucky Ave , Paducah KY 42003-3813 -
Wittman, William J
10 Bramblebush Park , Falmouth MA 02540-2325