Bruckart, Deborah
Bruckart, Deborah is an individual health care provider with primary practice located at 2123 Franklin Dr Ne , Palm Bay FL 32905-4022. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bruckart, Deborah can be contacted via phone (321) 724-1614.Contact Information
Primary practice address
2123 Franklin Dr Ne
Palm Bay FL 32905-4022
Phone: (321) 724-1614
Fax: (321) 722-3590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH6194 | Florida |
Profile Details
| NPI number | 1649215286 |
|---|---|
| LBN Legal business name | Bruckart, Deborah |
| Credentials | L.M.H.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1649215286 | NPPES |
| Florida | Other | Z070V | BLUE CROSS BLUE SHIELD |
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