Bongaard, Bridget Stine
Bongaard, Bridget Stine is an individual health care provider with primary practice located at 707 Memorial Blvd , Concord NC 28025-2975. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Naturopath. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bongaard, Bridget Stine can be contacted via phone (704) 403-7050.Contact Information
Primary practice address
707 Memorial Blvd
Concord NC 28025-2975
Phone: (704) 403-7050
Fax: (704) 403-7059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 28133 | North Carolina |
| Other Service Providers / Naturopath | 175F00000X | 28133 | North Carolina |
Profile Details
| NPI number | 1730159732 |
|---|---|
| LBN Legal business name | Bongaard, Bridget Stine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Aug 25th, 2014 - about 10 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 | 1730159732 | NPPES |
| North Carolina | MEDICAID | 1730159732 | |
| North Carolina | Other | 8102223 | |
| North Carolina | Other | 177664 | |
| North Carolina | Other | 11176 | |
| North Carolina | Other | 1205616 | |
| North Carolina | Other | 1639733 | |
| North Carolina | Other | 16783 | |
| North Carolina | Other | 4102703 | |
| North Carolina | MEDICAID | 8916783 | |
| North Carolina | Other | 203598K | |
| North Carolina | Other | A9136 |
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