Groessl, Bonnie L
Groessl, Bonnie L is an sole proprietor health care provider with primary practice located at 2149 Velp Ave Suite 205, Green Bay WI 54303-5424. She recently has only one registered license in Nursing Service Providers / Pain Management, which is considered as her primary health care specialty. Groessl, Bonnie L can be contacted via phone (920) 434-8500.Contact Information
Primary practice address
2149 Velp Ave Suite 205
Green Bay WI 54303-5424
Phone: (920) 434-8500
Fax: (920) 468-9791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pain Management | 163WP0000X | 79614 | Wisconsin |
Profile Details
| NPI number | 1528170982 |
|---|---|
| LBN Legal business name | Groessl, Bonnie L |
| Credentials | Master of Science in Nursing (MSN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jun 8th, 2009 - about 17 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 | 1528170982 | NPPES |
| Wisconsin | MEDICAID | 43845200 |
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