Wilkinson, Berney J
Wilkinson, Berney J is an individual health care provider with primary practice located at 3515 E Fletcher Ave Mdc 102, Tampa FL 33613-4706. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wilkinson, Berney J can be contacted via phone (813) 974-8900.Contact Information
Primary practice address
3515 E Fletcher Ave Mdc 102
Tampa FL 33613-4706
Phone: (813) 974-8900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 103TS0200X | PY7550 | Florida |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY7550 | Florida |
Profile Details
NPI number | 1811936073 |
---|---|
LBN Legal business name | Wilkinson, Berney J |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 5th, 2006 |
Last updated | Jun 4th, 2008 - 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 | 1811936073 | NPPES |
Florida | Other | 74327 | BLUE CROSS BLUE SHIELD |
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