Bridgeman, Kristopher

Bridgeman, Kristopher is an individual health care provider with primary practice located at 951 Essington Rd , Joliet IL 60435-8439. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bridgeman, Kristopher can be contacted via phone (815) 744-4551.

Contact Information

Primary practice address
951 Essington Rd Joliet IL 60435-8439
Fax: (815) 744-4756
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006497 Illinois

Profile Details

NPI number 1649779471
LBN Legal business name Bridgeman, Kristopher
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2018
Last updated Nov 3rd, 2020 - about 6 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 1649779471 NPPES
Illinois Other 085006497 IL PA LICENSE

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