Dewit, Bernadette Joan
Dewit, Bernadette Joan is an sole proprietor health care provider with primary practice located at 1 Mcgarity Road , Canton GA 30115. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Dewit, Bernadette Joan can be contacted via phone (770) 360-9183.Contact Information
Primary practice address
1 Mcgarity Road
Canton GA 30115
Phone: (770) 360-9183
Fax: (770) 360-8965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT0001266 | Georgia |
Profile Details
| NPI number | 1215005145 |
|---|---|
| LBN Legal business name | Dewit, Bernadette Joan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Mar 2nd, 2016 - about 9 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 | 1215005145 | NPPES |
| Georgia | MEDICAID | 505898257C | |
| Georgia | Other | 10035430 | |
| Georgia | Other | 505898257B | |
| Georgia | Other | 308507 | |
| Georgia | MEDICAID | 505898257B |
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