Bridges, Eddie Van

Bridges, Eddie Van is an individual health care provider with primary practice located at 2084 E Main St , Spartanburg SC 29307-1425. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bridges, Eddie Van can be contacted via phone (864) 542-1066.

Contact Information

Primary practice address
2084 E Main St Spartanburg SC 29307-1425
Fax: (864) 542-0780
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1490 South Carolina

Profile Details

NPI number 1417911355
LBN Legal business name Bridges, Eddie Van
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1417911355 NPPES
South Carolina MEDICAID CH1490

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