Bridge, Andrew T

Bridge, Andrew T is an individual health care provider with primary practice located at 13000 N Meridian St Ste 101 , Carmel IN 46032-1404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bridge, Andrew T can be contacted via phone (317) 208-3813.

Contact Information

Primary practice address
13000 N Meridian St Ste 101 Carmel IN 46032-1404
Phone: (317) 208-3813
Fax: (317) 208-3815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01065291A Indiana

Profile Details

NPI number 1174780837
LBN Legal business name Bridge, Andrew T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2008
Last updated Aug 17th, 2022 - about 3 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 1174780837 NPPES
Indiana Other 000000698538 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 201009500 ANTHEM PROVIDER NUMBER

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