Bridges, Leonard Wayne

Bridges, Leonard Wayne is an individual health care provider with primary practice located at 256 State Highway Y , Forsyth MO 65653-5618. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bridges, Leonard Wayne 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 114104 Missouri

Profile Details

NPI number 1225162779
LBN Legal business name Bridges, Leonard Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Dec 31st, 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 1225162779 NPPES
Washington Other 0184796 WA STATE LABOR UNION
Washington Other 121791 WA STATE LABOR UNION

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