Bridger, Autumn Rejoice
Bridger, Autumn Rejoice is an individual health care provider with primary practice located at 505 Poplar St 209, Meadville PA 16335-3057. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Bridger, Autumn Rejoice can be contacted via phone (814) 373-2156.Contact Information
Primary practice address
505 Poplar St 209
Meadville PA 16335-3057
Phone: (814) 373-2156
Fax: (814) 373-2159
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Urology | 208800000X | OS016885 | Pennsylvania |
Profile Details
NPI number | 1609003656 |
---|---|
LBN Legal business name | Bridger, Autumn Rejoice |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2009 |
Last updated | Oct 14th, 2016 - about 8 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 | 1609003656 | NPPES |
Pennsylvania | MEDICAID | 102944294 |
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