Berntson, Deborah
Berntson, Deborah is an individual health care provider with primary practice located at 592 Executive Pl Suite 101, Fayetteville NC 28305-5188. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Berntson, Deborah can be contacted via phone (910) 323-6006.Contact Information
Primary practice address
592 Executive Pl Suite 101
Fayetteville NC 28305-5188
Phone: (910) 323-6006
Fax: (910) 323-1921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1622 | North Carolina |
Profile Details
| NPI number | 1164401337 |
|---|---|
| LBN Legal business name | Berntson, Deborah |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1164401337 | NPPES |
| North Carolina | Other | 0326K | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 6000722 | BLUE CROSS BLUE SHIELD |
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