Bridger, John Russell
Bridger, John Russell is an sole proprietor health care provider with primary practice located at 1016 W University Ave Ste 202 , Flagstaff AZ 86001-2996. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bridger, John Russell can be contacted via phone (970) 844-7151.Contact Information
Primary practice address
1016 W University Ave Ste 202
Flagstaff AZ 86001-2996
Phone: (970) 844-7151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY.0005360 | Colorado |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-005572 | Arizona |
Profile Details
| NPI number | 1932563673 |
|---|---|
| LBN Legal business name | Bridger, John Russell |
| Credentials | PH.D., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2016 |
| Last updated | Aug 17th, 2023 - 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.
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