Boy, Bridget C

Boy, Bridget C is an sole proprietor health care provider with primary practice located at 2719 Center Ave , Sheboygan WI 53081-4237. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Boy, Bridget C can be contacted via phone (920) 207-4224.

Contact Information

Primary practice address
2719 Center Ave Sheboygan WI 53081-4237
Phone: (920) 207-4224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 902-019 Wisconsin

Profile Details

NPI number 1013189745
LBN Legal business name Boy, Bridget C
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2008
Last updated Oct 27th, 2018 - about 7 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 1013189745 NPPES
Wisconsin MEDICAID 40461800

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