Bernzen, Beverly Behrman
Bernzen, Beverly Behrman is an sole proprietor health care provider with primary practice located at 115 N Dixie Dr #250, Lake Jackson TX 77566-5906. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bernzen, Beverly Behrman can be contacted via phone (979) 285-3583.Contact Information
Primary practice address
115 N Dixie Dr #250
Lake Jackson TX 77566-5906
Phone: (979) 285-3583
Fax: (979) 299-1783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 19546 | Texas |
Profile Details
| NPI number | 1619947538 |
|---|---|
| LBN Legal business name | Bernzen, Beverly Behrman |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jun 24th, 2009 - about 15 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 | 1619947538 | NPPES |
| Texas | Other | 0063ES | BCBS |
| Texas | MEDICAID | 100767603 | BCBS |
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