Bitter, Edward John
Bitter, Edward John is an sole proprietor health care provider with primary practice located at 19634 Ventura Blvd Ste. 325, Tarzana CA 91356-2966. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bitter, Edward John can be contacted via phone (818) 345-2341.Contact Information
Primary practice address
19634 Ventura Blvd Ste. 325
Tarzana CA 91356-2966
Phone: (818) 345-2341
Fax: (818) 345-7736
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY043401 | California |
Profile Details
NPI number | 1124043179 |
---|---|
LBN Legal business name | Bitter, Edward John |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 12th, 2006 |
Last updated | Sep 9th, 2011 - about 14 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 | 1124043179 | NPPES |
California | Other | 5422000PL43400 | BLUE SHIELD OF CALIFORNIA |
California | MEDICAID | PSY043401 | BLUE SHIELD OF CALIFORNIA |
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