Bridwell, Larry Joe

Bridwell, Larry Joe is an sole proprietor health care provider with primary practice located at 280 W Macarthur Blvd , Oakland CA 94611-5642. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Bridwell, Larry Joe can be contacted via phone (510) 752-0164.

Contact Information

Primary practice address
280 W Macarthur Blvd Oakland CA 94611-5642
Phone: (510) 752-0164
Fax: (510) 752-7014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 547388 California

Profile Details

NPI number 1043362296
LBN Legal business name Bridwell, Larry Joe
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Feb 11th, 2022 - about 2 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 1043362296 NPPES
California Other 16829 NP

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