Bongel, Katherine Ann
Bongel, Katherine Ann is an sole proprietor health care provider with primary practice located at 133 S Oneida St , Green Bay WI 54303-1920. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Bongel, Katherine Ann can be contacted via phone (920) 494-7551.Contact Information
Primary practice address
133 S Oneida St
Green Bay WI 54303-1920
Phone: (920) 494-7551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 11076031 | Wisconsin |
Profile Details
| NPI number | 1497929491 |
|---|---|
| LBN Legal business name | Bongel, Katherine Ann |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | Apr 22nd, 2008 - about 16 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 | 1497929491 | NPPES |
| Wisconsin | MEDICAID | 35042500 |
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