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
Phone: (269) 985-4441
Fax: (269) 985-4494
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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