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Contact Information

NATHAN M BRINE, ATC LAT
2305 WILLIS MILLER DR
HUDSON, WI54016
 Phone: 715-386-1155
 Fax: 715-386-1105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for NATHAN M BRINE · (Male)

NPI Number 1053607499
Status Active
Credentials ATC LAT
Entity Individual
Enumeration date 06/23/2011
Last updated 06/23/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1005-39
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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