Bruce, Charlyne Gold

Bruce, Charlyne Gold is an sole proprietor health care provider with primary practice located at 560 E View Rd , Verona WI 53593-1504. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Bruce, Charlyne Gold can be contacted via phone (608) 845-6009.

Contact Information

Primary practice address
560 E View Rd Verona WI 53593-1504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X Wisconsin

Profile Details

NPI number 1013061894
LBN Legal business name Bruce, Charlyne Gold
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Jul 9th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013061894 NPPES
Wisconsin MEDICAID 38291900

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