Provider Demographics
NPI:1467471730
Name:FORCIEA, BRUCE STEPHEN (DC)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:STEPHEN
Last Name:FORCIEA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8812 W NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226-2726
Mailing Address - Country:US
Mailing Address - Phone:414-774-2300
Mailing Address - Fax:414-774-0341
Practice Address - Street 1:8812 WEST NORTH AVE
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-2726
Practice Address - Country:US
Practice Address - Phone:414-774-2300
Practice Address - Fax:414-774-0341
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2968012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI000046038Medicare ID - Type Unspecified