Mahan, Bridgid Marie
Mahan, Bridgid Marie is an individual health care provider with primary practice located at 6008 Brownsboro Park Blvd Suite C, Louisville KY 40207-1295. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Mahan, Bridgid Marie can be contacted via phone (502) 899-4760.Contact Information
Primary practice address
6008 Brownsboro Park Blvd Suite C
Louisville KY 40207-1295
Phone: (502) 899-4760
Fax: (502) 899-4719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 004050 | Kentucky |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 004050 | Kentucky |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 004050 | Kentucky |
Profile Details
| NPI number | 1962428698 |
|---|---|
| LBN Legal business name | Mahan, Bridgid Marie |
| Credentials | PT, DPT, OCS,SCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Nov 4th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962428698 | NPPES |
| Kentucky | Other | 205097932 | HUMANA |
| Kentucky | Other | 000000505134 | HUMANA |
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