Rabideau, Bridget Jaylene
Rabideau, Bridget Jaylene is an individual health care provider with primary practice located at 155 Finny Blvd , Malone NY 12953. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Rabideau, Bridget Jaylene can be contacted via phone (518) 483-0109.Contact Information
Primary practice address
155 Finny Blvd
Malone NY 12953
Phone: (518) 483-0109
Fax: (518) 483-0115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 009005-1 | New York |
Profile Details
| NPI number | 1609191261 |
|---|---|
| LBN Legal business name | Rabideau, Bridget Jaylene |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2010 |
| Last updated | Apr 7th, 2010 - about 14 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 | 1609191261 | NPPES |
| New York | MEDICAID | 01995615 |
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