Hersing, Walt
Hersing, Walt is an individual health care provider with primary practice located at 2123 Franklin Dr Ne , Palm Bay FL 32905-4022. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hersing, Walt can be contacted via phone (321) 724-1614.Contact Information
Primary practice address
2123 Franklin Dr Ne
Palm Bay FL 32905-4022
Phone: (321) 724-1614
Fax: (321) 722-3590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW0003317 | Florida |
Profile Details
| NPI number | 1770512808 |
|---|---|
| LBN Legal business name | Hersing, Walt |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1770512808 | NPPES |
| Florida | Other | Z6179Z | BLUE CROSS BLUE SHIELD |
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