Brasfield, Bridget Ellen
Brasfield, Bridget Ellen is an individual health care provider with primary practice located at 2861 Madison Avenue , Granite City IL 62040-3614. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Brasfield, Bridget Ellen can be contacted via phone (618) 877-4000.Contact Information
Primary practice address
2861 Madison Avenue
Granite City IL 62040-3614
Phone: (618) 877-4000
Fax: (618) 877-0874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
| NPI number | 1205948577 |
|---|---|
| LBN Legal business name | Brasfield, Bridget Ellen |
| Credentials | DC DR OF CHIRO MED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1205948577 | NPPES |
| Illinois | Other | 0006032042 | BCBS |
| Illinois | MEDICAID | 2177820538 | BCBS |
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