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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407882145 NPPES
Florida Other 54526 BCBS

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