Dr. Carol Bridges
General Practice Physician
4391 E Lake Rd 36e
Monticello
, Indiana 47960-7513
Dr. Carol Bridges
General Practice Physician
4391 E Lake Rd 36e
Monticello
, Indiana 47960-7513
(574) 583-8730
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Carol Bridges
- 4391 E Lake Rd 36e
- Monticello, IN
- Zip : 47960
- Phone : (574) 583-8730
Second Address
- Dr. Carol Bridges
- 4391 E Lake Rd 36e
- Monticello, IN
- Zip : 47960-7513
- Phone : (574) 583-8730
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 01040338 | IN |
National Provider Identifier
| NPI | 1003078056 |
|---|---|
| Provider Name | Dr. Carol Bridges |
| First Address | Monticello, IN 47960 |
| Second Address | Monticello, IN 47960-7513 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2008 |
| Last Update Date | 01/07/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.