Bridges, Kenneth G
Bridges, Kenneth G is an sole proprietor health care provider with primary practice located at 2402 Frist Blvd Suite 203, Fort Pierce FL 34950-4838. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Bridges, Kenneth G can be contacted via phone (772) 462-3939.Contact Information
Primary practice address
2402 Frist Blvd Suite 203
Fort Pierce FL 34950-4838
Phone: (772) 462-3939
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ME69634 | Florida |
Profile Details
| NPI number | 1437144870 |
|---|---|
| LBN Legal business name | Bridges, Kenneth G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Oct 26th, 2009 - about 15 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 | 1437144870 | NPPES |
| Florida | Other | P00738042 | RAILROAD MEDICARE |
| Florida | MEDICAID | 262035900 | RAILROAD MEDICARE |
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