Bacon, Bruce Richard
Bacon, Bruce Richard is an individual health care provider with primary practice located at 5000 W National Ave , Milwaukee WI 53295-0001. He recently has only one registered license in Nursing Service Providers / Rehabilitation, which is considered as his primary health care specialty. Bacon, Bruce Richard can be contacted via phone (414) 384-2000.Contact Information
Primary practice address
5000 W National Ave
Milwaukee WI 53295-0001
Phone: (414) 384-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Rehabilitation | 163WR0400X | 122292-30 | Wisconsin |
Profile Details
| NPI number | 1720097371 |
|---|---|
| LBN Legal business name | Bacon, Bruce Richard |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
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