Roots, Bridget D.

Roots, Bridget D. is an individual health care provider with primary practice located at 4203 Hospital Rd , Coal Township PA 17866-9668. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Roots, Bridget D. can be contacted via phone (570) 648-4010.

Contact Information

Primary practice address
4203 Hospital Rd Coal Township PA 17866-9668
Fax: (570) 648-5076
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD425819 Pennsylvania

Profile Details

NPI number 1326004631
LBN Legal business name Roots, Bridget D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Dec 6th, 2011 - about 13 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 1326004631 NPPES
Pennsylvania MEDICAID 1012365110005

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