Bridgewater, Joel L
Bridgewater, Joel L is an individual health care provider with primary practice located at 1110 E 6Th St Ste D , Muscle Shoals AL 35661-3957. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Bridgewater, Joel L can be contacted via phone (256) 397-8842.Contact Information
Primary practice address
1110 E 6Th St Ste D
Muscle Shoals AL 35661-3957
Phone: (256) 397-8842
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | LL27993 | South Carolina |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD.32800 | Alabama |
Profile Details
| NPI number | 1407944796 |
|---|---|
| LBN Legal business name | Bridgewater, Joel L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Apr 7th, 2021 - about 3 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 | 1407944796 | NPPES |
| Alabama | Other | 102I935745 | MEDICARE |
| Alabama | MEDICAID | P01309083 | MEDICARE |
| Alabama | MEDICAID | 156039 | MEDICARE |
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