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Contact Information

BRUCE S BENCRISCUTTO, D.C.
612 N CHURCH ST
WATERTOWN, WI53098-2111
 Phone: 920-261-1226
 Fax: 920-261-1435
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BRUCE S BENCRISCUTTO · (Male)

NPI # 1316028707
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 10/18/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1636-012
  • WI Other 525007 DEAN CARE HMO
  • WI Other 75609 WPS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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