Bodenbach, Bridget
Bodenbach, Bridget is an individual health care provider with primary practice located at 9200 W Loomis Rd , Franklin WI 53132-8887. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bodenbach, Bridget can be contacted via phone (414) 529-9232.Contact Information
Primary practice address
9200 W Loomis Rd
Franklin WI 53132-8887
Phone: (414) 529-9232
Fax: (414) 529-9292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3263-23 | Wisconsin |
Profile Details
| NPI number | 1669891164 |
|---|---|
| LBN Legal business name | Bodenbach, Bridget |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2014 |
| Last updated | Nov 23rd, 2021 - about 4 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 | 1669891164 | NPPES |
| Wisconsin | MEDICAID | 41920100 |
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