Bridges, Jason M

Bridges, Jason M is an individual health care provider with primary practice located at 10128 W Broad St Bldg Iii , Glen Allen VA 23060-6761. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bridges, Jason M can be contacted via phone (804) 217-9210.

Contact Information

Primary practice address
10128 W Broad St Bldg Iii Glen Allen VA 23060-6761
Phone: (804) 217-9210
Fax: (804) 217-9213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305203424 Virginia

Profile Details

NPI number 1225090350
LBN Legal business name Bridges, Jason M
Credentials PT, MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Apr 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225090350 NPPES
Virginia MEDICAID 8953023
Virginia Other 192953
Virginia Other 7914439
Virginia Other 650025723

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