Bridgman, Phillip Moses

Bridgman, Phillip Moses is an sole proprietor health care provider with primary practice located at 50 Leroy Street , Potsdam NY 13676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Bridgman, Phillip Moses can be contacted via phone (315) 265-3300.

Contact Information

Primary practice address
50 Leroy Street Potsdam NY 13676
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 166862-1 New York

Profile Details

NPI number 1598829582
LBN Legal business name Bridgman, Phillip Moses
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Sep 13th, 2007 - about 18 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 1598829582 NPPES
New York Other 166862-1 LICENSE

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