Bommersbach, Eugene C

Bommersbach, Eugene C is an individual health care provider with primary practice located at 900 Illinois Ave , Stevens Point WI 54481-3114. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bommersbach, Eugene C can be contacted via phone (715) 346-5000.

Contact Information

Primary practice address
900 Illinois Ave Stevens Point WI 54481-3114
Phone: (715) 346-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 432 Wisconsin

Profile Details

NPI number 1013000496
LBN Legal business name Bommersbach, Eugene C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Jan 24th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013000496 NPPES
Wisconsin MEDICAID 43283900

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