Jungerberg, Bruce

Jungerberg, Bruce is an individual health care provider with primary practice located at 1895 Abby Rd , Cumberland WI 54829-8706. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Jungerberg, Bruce can be contacted via phone (715) 822-3800.

Contact Information

Primary practice address
1895 Abby Rd Cumberland WI 54829-8706
Phone: (715) 822-3800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1144361395
LBN Legal business name Jungerberg, Bruce
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jan 7th, 2013 - about 13 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 1144361395 NPPES
Wisconsin MEDICAID 39099100

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