Bridges, Robert Loren

Bridges, Robert Loren is an individual health care provider with primary practice located at 1751 E. Gardner Way Suite B, Wasilla AK 99654. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bridges, Robert Loren can be contacted via phone (907) 357-1220.

Contact Information

Primary practice address
1751 E. Gardner Way Suite B Wasilla AK 99654
Phone: (907) 357-1220
Fax: (907) 357-1222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4098 Alaska
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 4098 Alaska

Profile Details

NPI number 1366501876
LBN Legal business name Bridges, Robert Loren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Oct 21st, 2011 - about 14 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 1366501876 NPPES
Alaska MEDICAID MDG1553
Alaska MEDICAID MDG1551
Alaska Other N2018
Alaska MEDICAID MDG1552
Alaska Other 4098
Alaska MEDICAID MD5606
Alaska MEDICAID MDG155

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