Bridgette, Richard E

Bridgette, Richard E is an individual health care provider with primary practice located at 15104 Ranson Road , Huntersville NC 28078. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Bridgette, Richard E can be contacted via phone (704) 948-9415.

Contact Information

Primary practice address
15104 Ranson Road Huntersville NC 28078
Phone: (704) 948-9415
Fax: (704) 948-9415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1940 North Carolina

Profile Details

NPI number 1710945001
LBN Legal business name Bridgette, Richard E
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 8th, 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 1710945001 NPPES
North Carolina MEDICAID 6000143

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