Becka, Bridget R

Becka, Bridget R is an individual health care provider with primary practice located at 1500 E Medical Center Drive 6Th Floor Cs Mott Childrens Hospital, Ann Arbor MI 48109-4234. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Becka, Bridget R can be contacted via phone (734) 936-4185.

Contact Information

Primary practice address
1500 E Medical Center Drive 6Th Floor Cs Mott Childrens Hospital Ann Arbor MI 48109-4234
Phone: (734) 936-4185
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704305348 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X COA.14838-NP Ohio

Profile Details

NPI number 1649612169
LBN Legal business name Becka, Bridget R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2013
Last updated Apr 14th, 2015 - about 10 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 1649612169 NPPES
Ohio MEDICAID COA.14838-NP

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