Bridges, Jack

Bridges, Jack is an individual health care provider with primary practice located at 5325 Faraon St , Saint Joseph MO 64506-3488. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bridges, Jack can be contacted via phone (816) 271-6575.

Contact Information

Primary practice address
5325 Faraon St Saint Joseph MO 64506-3488
Phone: (816) 271-6575
Fax: (816) 271-6139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 102182 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0427939 Kansas

Profile Details

NPI number 1588639025
LBN Legal business name Bridges, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Sep 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588639025 NPPES
Missouri Other 300138251 RR MEDICARE GROUP CK7871
Missouri Other 24064048 RR MEDICARE GROUP CK7871
Missouri Other 106183 RR MEDICARE GROUP CK7871
Missouri MEDICAID 203612924 RR MEDICARE GROUP CK7871
Missouri MEDICAID 100287240B RR MEDICARE GROUP CK7871
Missouri Other 470767 RR MEDICARE GROUP CK7871

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