Winkka, Bruce
Winkka, Bruce is an sole proprietor health care provider with primary practice located at 1701 Dousman St , Green Bay WI 54303-3211. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Winkka, Bruce can be contacted via phone (920) 498-8600.Contact Information
Primary practice address
1701 Dousman St
Green Bay WI 54303-3211
Phone: (920) 498-8600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1265605869 |
|---|---|
| LBN Legal business name | Winkka, Bruce |
| Credentials | CSAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2008 |
| Last updated | Apr 4th, 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 | 1265605869 | NPPES |
| Wisconsin | MEDICAID | 39380500 |
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