Bronston, Leo J
Bronston, Leo J is an sole proprietor health care provider with primary practice located at 1202 County Rd Ph Suite 100, Onalaska WI 54650. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bronston, Leo J can be contacted via phone (608) 781-2225.Contact Information
Primary practice address
1202 County Rd Ph Suite 100
Onalaska WI 54650
Phone: (608) 781-2225
Fax: (608) 781-6425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1491-012 | Wisconsin |
Profile Details
| NPI number | 1427077718 |
|---|---|
| LBN Legal business name | Bronston, Leo J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Nov 28th, 2011 - about 15 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 | 1427077718 | NPPES |
| Wisconsin | MEDICAID | 38766900 | |
| Wisconsin | Other | 350022982 |
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