Swanberg-Austin, Bridget Raquel

Swanberg-Austin, Bridget Raquel is an individual health care provider with primary practice located at 223 Cibeque Circle Road , San Carlos AZ 85550. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Swanberg-Austin, Bridget Raquel can be contacted via phone (928) 475-7354.

Contact Information

Primary practice address
223 Cibeque Circle Road San Carlos AZ 85550
Phone: (928) 475-7354
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019-024374 Illinois

Profile Details

NPI number 1518076595
LBN Legal business name Swanberg-Austin, Bridget Raquel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 1st, 2013 - about 11 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 1518076595 NPPES
Arizona MEDICAID 524571

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