Bricka, Fredric Harvey

Bricka, Fredric Harvey is an sole proprietor health care provider with primary practice located at 3640 S Plaza Trl Ste 103D , Virginia Beach VA 23452-3363. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bricka, Fredric Harvey can be contacted via phone (757) 818-4541.

Contact Information

Primary practice address
3640 S Plaza Trl Ste 103D Virginia Beach VA 23452-3363
Phone: (757) 818-4541
Fax: (757) 299-3031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904004535 Virginia

Profile Details

NPI number 1770565442
LBN Legal business name Bricka, Fredric Harvey
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2005
Last updated Mar 16th, 2020 - about 6 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 1770565442 NPPES
Virginia Other 083807M SENTARA
Virginia Other 179019 SENTARA
Virginia MEDICAID 010142768 SENTARA

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