Richard J Bronecki in Beaver Dam - Social Worker

Richard J Bronecki - NPI 1497767040

Richard J Bronecki is a Social Worker in Beaver Dam, Wisconsin. Richard J Bronecki practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Richard J Bronecki is 1497767040. The last update date is 2007-07-08.

Richard J Bronecki's current location address is 108 N Lincoln Ave, Beaver Dam, Wisconsin. You can contact this provider via phone number 9208878751 and fax number 9209227440. The mailing address for Richard J Bronecki is 108 N Lincoln Ave, Beaver Dam, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard J Bronecki
Address 108 N Lincoln Ave, Beaver Dam, Wisconsin
Phone Number 9208878751
Fax Number 9209227440
Sole Proprietor N
Credentials LISW, CEAP

NPI Number Detail

NPI Number 1497767040
Provider Enumeration Date 2006-08-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 108 N Lincoln Ave
City Beaver Dam
State Wisconsin (WI)
Post Code 539162110
Phone Number 9208878751
Fax Number 9209227440

Provider's Primary Taxonomy Detail

Speciality Social Worker
Taxonomy 104100000X
Licence No 3034123
Definition:
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39241100 WI --

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FAQs about Richard J Bronecki

What is the unique 10-digit identifier code issued to Richard J Bronecki by the Centers for Medicare & Medicaid Services?

The Richard J Bronecki has been assigned the NPI (National Provider Identifier) 1497767040 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Richard J Bronecki is physically located?

The Richard J Bronecki is physically situated at the following address: 108 N Lincoln Ave, Beaver Dam, WI, 539162110.

What is the area of specialization for Richard J Bronecki, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Richard J Bronecki is Social Worker, and the corresponding taxonomy code that categorizes this area of expertise is 104100000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1497767040 to Richard J Bronecki?

The Richard J Bronecki received its 1497767040 assignment from the Centers for Medicare & Medicaid Services on 2006-08-12.

As of what date were the details related to Richard J Bronecki most recently updated or revised?

The information pertaining to Richard J Bronecki, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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