Bracker, William
Bracker, William is an sole proprietor health care provider with primary practice located at 1881 Ne 26Th St Ste 70 , Wilton Manors FL 33305-1425. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bracker, William can be contacted via phone (954) 895-1022.Contact Information
Primary practice address
1881 Ne 26Th St Ste 70
Wilton Manors FL 33305-1425
Phone: (954) 895-1022
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY6093 | Florida |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 68 019898 | New York |
Profile Details
NPI number | 1407882145 |
---|---|
LBN Legal business name | Bracker, William |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 24th, 2006 |
Last updated | Feb 4th, 2023 - about last year |
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 | 1407882145 | NPPES |
Florida | Other | 54526 | BCBS |
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