Bridge, Lawrence Edward
Bridge, Lawrence Edward is an individual health care provider with primary practice located at 206 Sea Island Pkwy Suite 31, Beaufort SC 29902. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Bridge, Lawrence Edward can be contacted via phone (770) 845-0751.Contact Information
Primary practice address
206 Sea Island Pkwy Suite 31
Beaufort SC 29902
Phone: (770) 845-0751
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AUD003824 | Georgia |
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X |
Profile Details
| NPI number | 1548597669 |
|---|---|
| LBN Legal business name | Bridge, Lawrence Edward |
| Credentials | AUD / CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2009 |
| Last updated | Jun 11th, 2019 - about 7 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 | 1548597669 | NPPES |
| South Carolina | MEDICAID | 1548597669 |
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