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Contact Information

THE BRIDGE LINE
315 WINDING RIVER LANE
SUITE 201
CHARLOTTESVILLE, VA22911
 Phone: 434-220-4596
 Fax: 434-220-4596
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Brain Injury Medicine

2084P0301X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for THE BRIDGE LINE · (Female)

NPI Number 1942982368
Status Active
Credentials
Entity Individual
Enumeration date 08/04/2023
Last updated 11/17/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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