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Contact Information

BRIDGET E REIDY, MD
2550 MEADOWBROOK ROAD
BENTON HARBOR, MI49022-9069
 Phone: 269-985-4441
 Fax: 269-985-4494
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BRIDGET E REIDY · (Female)

NPI # 1255324976
Status Active
Credentials MD
Entity Individual
Enumeration date 08/28/2005
Last updated 04/06/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 407192
  • MI License # 4301407192
  • MI Medicaid 4447105
  • OH Medicaid 3103680
  • MI Other 080817663 BCBS
  • MI Other P112580 BCN
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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