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
Fax: (573) 888-2369
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639371842 NPPES
Missouri Other 507496 HEALTHLINK PPO
Missouri Other 162252 HEALTHLINK PPO
Missouri Other 162252 HEALTHLINK PPO

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