Carter, Bridget
Carter, Bridget is an sole proprietor health care provider with primary practice located at 275 Beck Ave # Ms 5-250 , Fairfield CA 94533-6804. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Carter, Bridget can be contacted via phone (707) 759-0785.Contact Information
Primary practice address
275 Beck Ave # Ms 5-250
Fairfield CA 94533-6804
Phone: (707) 759-0785
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | ||
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1326327081 |
|---|---|
| LBN Legal business name | Carter, Bridget |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2011 |
| Last updated | Jun 1st, 2023 - about 3 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 | 1326327081 | NPPES |
| California | Other | 95-2633765 | MEDI-CAL |
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