Bunnell, Brian E

Bunnell, Brian E is an individual health care provider with primary practice located at 3515 E Fletcher Ave , Tampa FL 33613-4706. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Bunnell, Brian E can be contacted via phone (813) 974-2201.

Contact Information

Primary practice address
3515 E Fletcher Ave Tampa FL 33613-4706
Phone: (813) 974-2201
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY10497 Florida

Profile Details

NPI number 1528492857
LBN Legal business name Bunnell, Brian E
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2013
Last updated Mar 31st, 2021 - about 5 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 1528492857 NPPES
Florida Other BOLCE BLUE CROSS BLUE SHIELD
Florida MEDICAID 103527100 BLUE CROSS BLUE SHIELD

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