Bridge To Health, Llc

LBN: Bridge To Health, Llc
Bridge To Health, Llc is an health care organization with primary practice located at 2149 Velp Ave Suite 205, Green Bay WI 54303-5424. The organization recently has only one registered license in Nursing Service Providers / Pain Management, which is considered as the primary health care specialty. Bridge To Health, Llc can be contacted via phone (920) 434-8500, or through Groessl, Bonnie Lee via phone (920) 434-8500.

Contact Information

Primary practice address
2149 Velp Ave Suite 205 Green Bay WI 54303-5424
Fax: (920) 468-9791
Website:
Authorized official contact:
Name: Groessl, Bonnie Lee Master of Science in Nursing (MSN)

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pain Management 163WP0000X 79614 Wisconsin

Profile Details

NPI number 1760618458
LBN Legal business name Bridge To Health, Llc
DBA Doing business as
Authorized official Groessl, Bonnie Lee Master of Science in Nursing (MSN)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2009
Last updated Jul 15th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760618458 NPPES
Wisconsin MEDICAID 43845200

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