Bridgman, Kyle David
Bridgman, Kyle David is an sole proprietor health care provider with primary practice located at 1785 N Academy Blvd Ste 100 , Colorado Springs CO 80909-2733. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Bridgman, Kyle David can be contacted via phone (719) 246-5693.Contact Information
Primary practice address
1785 N Academy Blvd Ste 100
Colorado Springs CO 80909-2733
Phone: (719) 246-5693
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFT.0001770 | Colorado |
Profile Details
| NPI number | 1477040905 |
|---|---|
| LBN Legal business name | Bridgman, Kyle David |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2018 |
| Last updated | Jul 3rd, 2024 - about last year |
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 | 1477040905 | NPPES |
| Colorado | MEDICAID | 9000183743 |
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