Provider Demographics
NPI:1508988718
Name:DR. BRUCE S. FORCIEA LLC
Entity Type:Organization
Organization Name:DR. BRUCE S. FORCIEA LLC
Other - Org Name:HEALTHRITE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:414-774-2300
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 W 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI296812111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1467471730OtherNPI INDIVIDUAL
WI296812OtherCHIROPRACTIC LICENSE
WI1467471730OtherNPI INDIVIDUAL
WIU42484Medicare UPIN