Davidson, Bridget Rose

Davidson, Bridget Rose is an individual health care provider with primary practice located at 5140 N California Ave Ste 635, Chicago IL 60625-3645. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Davidson, Bridget Rose can be contacted via phone (773) 989-6200.

Contact Information

Primary practice address
5140 N California Ave Ste 635 Chicago IL 60625-3645
Phone: (773) 989-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209009174 Illinois

Profile Details

NPI number 1285990911
LBN Legal business name Davidson, Bridget Rose
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2012
Last updated Jul 10th, 2024 - about 2 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 1285990911 NPPES
Other 406120066 PTAN
MEDICAID 041384723 PTAN

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