Bronston, Shirley Nadine
Bronston, Shirley Nadine is an sole proprietor health care provider with primary practice located at 810 Westwood Office Park , Fredericksburg VA 22401-5121. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bronston, Shirley Nadine can be contacted via phone (540) 845-6940.Contact Information
Primary practice address
810 Westwood Office Park
Fredericksburg VA 22401-5121
Phone: (540) 845-6940
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904008162 | Virginia |
Profile Details
| NPI number | 1740520634 |
|---|---|
| LBN Legal business name | Bronston, Shirley Nadine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2013 |
| Last updated | Feb 28th, 2013 - about 13 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 | 1740520634 | NPPES |
| Virginia | Other | 0904008162 | LICENSE |
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