Bridwell, Keith H

Bridwell, Keith H is an individual health care provider with primary practice located at 4921 Parkview Pl Dept Orthopaedic Surgery, Ste 6A/6B/12A, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Bridwell, Keith H can be contacted via phone (314) 747-2551.

Contact Information

Primary practice address
4921 Parkview Pl Dept Orthopaedic Surgery, Ste 6A/6B/12A Saint Louis MO 63110-1032
Phone: (314) 747-2551
Fax: (314) 747-2598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X R8587 Missouri

Profile Details

NPI number 1063438281
LBN Legal business name Bridwell, Keith H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 25th, 2024 - about 7 months 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 1063438281 NPPES
Missouri MEDICAID 202049805

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