Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 01075770A | IN |
N | 2084N0400X | Neurologist | 039128 | CT |
NPI | 1043208739 |
---|---|
Provider Name | Dr. Bridget Patterson-Marshall |
First Address | South Bend, IN 46617-1924 |
Second Address | South Bend, IN 46601-1033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2005 |
Last Update Date | 04/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000988132 | BCBS MEMORIAL HOSPITALIST (01) | IN |
201341950 | (05) | IN |