Bridget, Autumn

Bridget, Autumn is an individual health care provider with primary practice located at 32100 Telegraph Rd Ste 205 , Bingham Farms MI 48025-2454. She recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as her primary health care specialty. Bridget, Autumn can be contacted via phone (248) 712-4266.

Contact Information

Primary practice address
32100 Telegraph Rd Ste 205 Bingham Farms MI 48025-2454
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X

Profile Details

NPI number 1811546641
LBN Legal business name Bridget, Autumn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2019
Last updated Sep 4th, 2019 - about 5 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.

Request for update

Popular Providers