Dickerson, Bridgae

Dickerson, Bridgae is an individual health care provider with primary practice located at 1775 E Mckinley St Apt 237 , Phoenix AZ 85006-3721. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Dickerson, Bridgae can be contacted via phone (602) 226-1653.

Contact Information

Primary practice address
1775 E Mckinley St Apt 237 Phoenix AZ 85006-3721
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1215691365
LBN Legal business name Dickerson, Bridgae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2021
Last updated Oct 25th, 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.

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