Green, Bridget Anne
Green, Bridget Anne is an individual health care provider with primary practice located at 6150 Northland Drive , Rockford MI 49341. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Green, Bridget Anne can be contacted via phone (616) 942-9343.Contact Information
Primary practice address
6150 Northland Drive
Rockford MI 49341
Phone: (616) 942-9343
Fax: (616) 942-2538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301083630 | Michigan |
Profile Details
| NPI number | 1356542500 |
|---|---|
| LBN Legal business name | Green, Bridget Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | Jul 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356542500 | NPPES |
| Michigan | MEDICAID | 2166108 |
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