Bratholt, Douglas Robert

Bratholt, Douglas Robert is an individual health care provider with primary practice located at 2900 Veterans Way , Viera FL 32940-8007. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bratholt, Douglas Robert can be contacted via phone (321) 637-3788.

Contact Information

Primary practice address
2900 Veterans Way Viera FL 32940-8007
Phone: (321) 637-3788
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW10586 Florida

Profile Details

NPI number 1033455076
LBN Legal business name Bratholt, Douglas Robert
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2012
Last updated Dec 19th, 2012 - about 12 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.

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