Bruss, Dianna Leigh
Bruss, Dianna Leigh is an individual health care provider with primary practice located at 2300 Riverside Dr Ste 124 , Green Bay WI 54301-1900. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bruss, Dianna Leigh can be contacted via phone (920) 309-6861.Contact Information
Primary practice address
2300 Riverside Dr Ste 124
Green Bay WI 54301-1900
Phone: (920) 309-6861
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4111-125 | Wisconsin |
Profile Details
| NPI number | 1871642744 |
|---|---|
| LBN Legal business name | Bruss, Dianna Leigh |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Apr 14th, 2023 - about last year |
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 | 1871642744 | NPPES |
| Wisconsin | MEDICAID | 1871642744 | |
| Wisconsin | MEDICAID | 100001117 |
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