Bridges, Brian

Bridges, Brian is an individual health care provider with primary practice located at 1113 N Fant St , Anderson SC 29621-4819. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Bridges, Brian can be contacted via phone (864) 225-1683.

Contact Information

Primary practice address
1113 N Fant St Anderson SC 29621-4819
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X South Carolina

Profile Details

NPI number 1043565666
LBN Legal business name Bridges, Brian
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2012
Last updated Jul 19th, 2012 - about 12 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 1043565666 NPPES
South Carolina MEDICAID 1245288745

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