Roots, Bridget D.
Roots, Bridget D. is an individual health care provider with primary practice located at 4203 Hospital Rd , Coal Township PA 17866-9668. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Roots, Bridget D. can be contacted via phone (570) 648-4010.Contact Information
Primary practice address
4203 Hospital Rd
Coal Township PA 17866-9668
Phone: (570) 648-4010
Fax: (570) 648-5076
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD425819 | Pennsylvania |
Profile Details
| NPI number | 1326004631 |
|---|---|
| LBN Legal business name | Roots, Bridget D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Dec 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 | 1326004631 | NPPES |
| Pennsylvania | MEDICAID | 1012365110005 |
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