Avery, Bridget M

Avery, Bridget M is an sole proprietor health care provider with primary practice located at 1963 Joyce Ct , Sandwich IL 60548-9203. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Avery, Bridget M can be contacted via phone (815) 498-4641.

Contact Information

Primary practice address
1963 Joyce Ct Sandwich IL 60548-9203
Phone: (815) 498-4641
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Illinois

Profile Details

NPI number 1215026810
LBN Legal business name Avery, Bridget M
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 18 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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