Bright, Rebeca Susana
Bright, Rebeca Susana is an sole proprietor health care provider with primary practice located at 2525 Harbor Blvd Ste 208 , Port Charlotte FL 33952. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bright, Rebeca Susana can be contacted via phone (941) 255-5489.Contact Information
Primary practice address
2525 Harbor Blvd Ste 208
Port Charlotte FL 33952
Phone: (941) 255-5489
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY8853 | Florida |
Profile Details
| NPI number | 1194031922 |
|---|---|
| LBN Legal business name | Bright, Rebeca Susana |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2010 |
| Last updated | Jan 22nd, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194031922 | NPPES |
| Other | 96097 | BCBS | |
| MEDICAID | 470798717-26, 27 | BCBS |
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