Beronja, Rebecca Lynn

Beronja, Rebecca Lynn is an individual health care provider with primary practice located at 1125 E Milham Ave Ste B , Portage MI 49002-3096. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Beronja, Rebecca Lynn can be contacted via phone (269) 312-1446.

Contact Information

Primary practice address
1125 E Milham Ave Ste B Portage MI 49002-3096
Phone: (269) 312-1446
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401010825 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401010825 Michigan

Profile Details

NPI number 1386975951
LBN Legal business name Beronja, Rebecca Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2010
Last updated Apr 14th, 2023 - about 3 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 1386975951 NPPES
Michigan Other 6401010825 LICENSE #

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