Moss, Bridgett R
Moss, Bridgett R is an individual health care provider with primary practice located at 11430 N Port Washington Rd , Mequon WI 53092-3414. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Moss, Bridgett R can be contacted via phone (262) 518-1900.Contact Information
Primary practice address
11430 N Port Washington Rd
Mequon WI 53092-3414
Phone: (262) 518-1900
Fax: (262) 518-5052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 50193 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 50193 | Wisconsin |
Profile Details
| NPI number | 1043437213 |
|---|---|
| LBN Legal business name | Moss, Bridgett R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Feb 10th, 2020 - about 5 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 | 1043437213 | NPPES |
| Wisconsin | Other | 50193 | STATE MEDICAL LICENSE |
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