Bridges, Peggy Lynn
Bridges, Peggy Lynn is an individual health care provider with primary practice located at 1109 Jones St , Kennett MO 63857-3824. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bridges, Peggy Lynn can be contacted via phone (573) 888-6545.Contact Information
Primary practice address
1109 Jones St
Kennett MO 63857-3824
Phone: (573) 888-6545
Fax: (573) 888-2369
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2938 | Missouri |
Profile Details
NPI number | 1639371842 |
---|---|
LBN Legal business name | Bridges, Peggy Lynn |
Credentials | BS, CRADC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2007 |
Last updated | Mar 5th, 2013 - about 11 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 | 1639371842 | NPPES |
Missouri | Other | 507496 | HEALTHLINK PPO |
Missouri | Other | 162252 | HEALTHLINK PPO |
Missouri | Other | 162252 | HEALTHLINK PPO |
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