Banks, Bridgette Idette

Banks, Bridgette Idette is an sole proprietor health care provider with primary practice located at 111 Hickory Knoll Dr Apt 401 , Canton GA 30114-2444. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Banks, Bridgette Idette can be contacted via phone (616) 773-9018.

Contact Information

Primary practice address
111 Hickory Knoll Dr Apt 401 Canton GA 30114-2444
Phone: (616) 773-9018
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT003286 Georgia

Profile Details

NPI number 1508345158
LBN Legal business name Banks, Bridgette Idette
Credentials MAT, LAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2018
Last updated Aug 13th, 2018 - about 8 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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