Bride, John Paul

Bride, John Paul is an individual health care provider with primary practice located at 109 Bee St Ralph H Johnson Va Medical Center, Charleston SC 29401-5703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bride, John Paul can be contacted via phone (843) 789-6012.

Contact Information

Primary practice address
109 Bee St Ralph H Johnson Va Medical Center Charleston SC 29401-5703
Phone: (843) 789-6012
Fax: (843) 789-6623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11046 New Hampshire
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31365 South Carolina

Profile Details

NPI number 1801864764
LBN Legal business name Bride, John Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Nov 20th, 2013 - about 11 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 1801864764 NPPES
South Carolina Other P00727204 RAILROAD MEDICARE ID-RSFPP
South Carolina MEDICAID 313654 RAILROAD MEDICARE ID-RSFPP

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