Reidy, Bridget E

Reidy, Bridget E is an individual health care provider with primary practice located at 2550 Meadowbrook Road , Benton Harbor MI 49022-9069. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Reidy, Bridget E can be contacted via phone (269) 985-4441.

Contact Information

Primary practice address
2550 Meadowbrook Road Benton Harbor MI 49022-9069
Fax: (269) 985-4494
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 407192 Michigan
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 4301407192 Michigan

Profile Details

NPI number 1255324976
LBN Legal business name Reidy, Bridget E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2005
Last updated Apr 6th, 2011 - about 15 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 1255324976 NPPES
Michigan Other P112580 BCN
Michigan Other 080817663 BCN
Michigan MEDICAID 4447105 BCN
Michigan MEDICAID 3103680 BCN

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