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
Fax: (580) 564-9516
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023485844 NPPES
Oklahoma Other 100687670 PUBLIC SCHOOLS

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