Bacha, Rebecca
Bacha, Rebecca is an sole proprietor health care provider with primary practice located at 543 N Main St Ste A , Manchester CT 06042-1973. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Bacha, Rebecca can be contacted via phone (860) 978-4843.Contact Information
Primary practice address
543 N Main St Ste A
Manchester CT 06042-1973
Phone: (860) 978-4843
Fax: (860) 649-6751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 005907 | Connecticut |
Profile Details
| NPI number | 1437200888 |
|---|---|
| LBN Legal business name | Bacha, Rebecca |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2007 |
| Last updated | Jan 3rd, 2020 - about 4 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 | 1437200888 | NPPES |
| Connecticut | MEDICAID | 004253829 |
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