Bridges, Janiece Rachelle
Bridges, Janiece Rachelle is an individual health care provider with primary practice located at 256 State Highway Y , Forsyth MO 65653-5618. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Bridges, Janiece Rachelle can be contacted via phone (417) 546-4200.Contact Information
Primary practice address
256 State Highway Y
Forsyth MO 65653-5618
Phone: (417) 546-4200
Fax: (417) 546-4505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 114296 | Missouri |
Profile Details
| NPI number | 1184758617 |
|---|---|
| LBN Legal business name | Bridges, Janiece Rachelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Oct 25th, 2010 - about 14 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 | 1184758617 | NPPES |
| Missouri | Other | 117248 | BLUE CROSS BLUE SHIELD |
| Missouri | MEDICAID | 205721103 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | 010060982 | BLUE CROSS BLUE SHIELD |
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