Zastrow, Brent E
Zastrow, Brent E is an sole proprietor health care provider with primary practice located at 1445 Merrill Ave , Wausau WI 54401-2646. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Zastrow, Brent E can be contacted via phone (715) 675-2321.Contact Information
Primary practice address
1445 Merrill Ave
Wausau WI 54401-2646
Phone: (715) 675-2321
Fax: (715) 675-6530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1033-25 | Wisconsin |
Profile Details
| NPI number | 1780663377 |
|---|---|
| LBN Legal business name | Zastrow, Brent E |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2006 |
| Last updated | May 2nd, 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 | 1780663377 | NPPES |
| Iowa | MEDICAID | 1209098 |
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