BRIDGET RENEE JOHNSON NPI 1578833919

NPI Information

NPI: 1578833919
Provider Name: BRIDGET RENEE JOHNSON
Classification: Contractor - 171W00000X
Entity Type: Individual
Address:
20090 210TH AVE
TUSTIN, MI
ZIP 49688
Phone: (231) 829-5095
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Bridget Renee Johnson is a contractor in Tustin, MI. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). Bridget Renee Johnson NPI is 1578833919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20090 210TH AVE
TUSTIN, MI
ZIP 49688-210
Phone: (231) 829-5095

The enumeration date for this NPI number is 1/2/2012 and was last updated on 1/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171W00000X	Contractor		AF670251586	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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