Bercaw, Edwin
Bercaw, Edwin is an sole proprietor health care provider with primary practice located at 710 Oakfield Dr Ste 153 , Brandon FL 33511-4954. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bercaw, Edwin can be contacted via phone (813) 603-7635.Contact Information
Primary practice address
710 Oakfield Dr Ste 153
Brandon FL 33511-4954
Phone: (813) 603-7635
Fax: (813) 501-1186
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PY7991 | Florida |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY7991 | Florida |
Profile Details
NPI number | 1871820233 |
---|---|
LBN Legal business name | Bercaw, Edwin |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 5th, 2009 |
Last updated | Mar 24th, 2021 - about 3 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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