Bridge, Maryann L
Bridge, Maryann L is an individual health care provider with primary practice located at 2400 17Th St , Columbus IN 47201-5351. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Bridge, Maryann L can be contacted via phone (812) 376-5144.Contact Information
Primary practice address
2400 17Th St
Columbus IN 47201-5351
Phone: (812) 376-5144
Fax: (812) 376-5431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 01036097A | Indiana |
Profile Details
| NPI number | 1962592980 |
|---|---|
| LBN Legal business name | Bridge, Maryann L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Dec 21st, 2022 - about 2 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 | 1962592980 | NPPES |
| Indiana | MEDICAID | 200008140A |
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