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
Phone: (623) 849-9088
Fax: (623) 849-7875
Website:
Health care specialties
| Specialty | Code | License # | 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 9 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 | 1588667109 | NPPES |
| Arizona | MEDICAID | 299108 |
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