Bidwell, Georgetta

Bidwell, Georgetta is an individual health care provider with primary practice located at 4901 W. Mcdowell Rd , Phoenix AZ 85035-0000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Bidwell, Georgetta can be contacted via phone (623) 849-9088.

Contact Information

Primary practice address
4901 W. Mcdowell Rd Phoenix AZ 85035-0000
Fax: (623) 849-7875
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 7104 Arizona

Profile Details

NPI number 1588667109
LBN Legal business name Bidwell, Georgetta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Feb 19th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588667109 NPPES
Arizona MEDICAID 299108

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