Bridgeman, Misty
Bridgeman, Misty is an individual health care provider with primary practice located at 400 North East Third , Kingston OK 73439. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Bridgeman, Misty can be contacted via phone (580) 564-2993.Contact Information
Primary practice address
400 North East Third
Kingston OK 73439
Phone: (580) 564-2993
Fax: (580) 564-9516
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
NPI number | 1023485844 |
---|---|
LBN Legal business name | Bridgeman, Misty |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 27th, 2015 |
Last updated | Aug 27th, 2015 - about 10 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 | 1023485844 | NPPES |
Oklahoma | Other | 100687670 | PUBLIC SCHOOLS |
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