Bridges, Derrick
Bridges, Derrick is an individual health care provider with primary practice located at 10622 Se Carr Rd Suite A, Renton WA 98055-5824. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bridges, Derrick can be contacted via phone (425) 277-2225.Contact Information
Primary practice address
10622 Se Carr Rd Suite A
Renton WA 98055-5824
Phone: (425) 277-2225
Fax: (425) 277-1591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA00020141 | Washington |
Profile Details
| NPI number | 1144435256 |
|---|---|
| LBN Legal business name | Bridges, Derrick |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1144435256 | NPPES |
| Washington | Other | 0191632 | L&I |
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