Bridge, Ross Edward

Bridge, Ross Edward is an individual health care provider with primary practice located at 3917 West Rd Suite 150, Los Alamos NM 87544-2275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bridge, Ross Edward can be contacted via phone (505) 662-4351.

Contact Information

Primary practice address
3917 West Rd Suite 150 Los Alamos NM 87544-2275
Fax: (505) 662-2932
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44252 Wisconsin

Profile Details

NPI number 1902839483
LBN Legal business name Bridge, Ross Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Oct 26th, 2010 - about 14 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 1902839483 NPPES
Wisconsin MEDICAID 34010900

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