Eric J. Bruster is a Health Service in Muskego, Wisconsin. Eric J. Bruster practices all healthcare services and medical treatments related to Health Service. The NPI Number for Eric J. Bruster is 1720128523. The last update date is 2020-08-26.
Eric J. Bruster's current location address is S74w16775 Janesville Rd, Muskego, Wisconsin. You can contact this provider via phone number 4147734312 and fax number 4144222188. The mailing address for Eric J. Bruster is S74w16775 Janesville Rd, Muskego, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric J. Bruster |
|---|---|
| Address | S74w16775 Janesville Rd, Muskego, Wisconsin |
| Phone Number | 4147734312 |
| Fax Number | 4144222188 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1720128523 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2020-08-26 |
Provider Mailing Address Detail
| Address | S74w16775 Janesville Rd |
|---|---|
| City | Muskego |
| State | Wisconsin (WI) |
| Post Code | 531507742 |
| Phone Number | 4147734312 |
| Fax Number | 4144222188 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | 280 |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100083826 | WI | -- | |
| 420716337 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Eric J. Bruster by the Centers for Medicare & Medicaid Services?
The Eric J. Bruster has been issued the NPI (National Provider Identifier) 1720128523 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Eric J. Bruster is located?
The Eric J. Bruster is situated at the following address: S74W16775 Janesville Rd, Muskego, WI, 531507742.
What is Eric J. Bruster's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eric J. Bruster is Health Service, and the taxonomy code that categorizes this field of expertise is 103Th0100X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720128523 to Eric J. Bruster?
The Eric J. Bruster received its 1720128523 assignment from the Centers for Medicare & Medicaid Services on 2007-02-08.
When was the information regarding Eric J. Bruster, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eric J. Bruster, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-26.
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