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NPI Code Detail

MEDICARE: BRIDGET FRANKLIN PA

MEDICARE:   BRIDGET  FRANKLIN  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant085.006170IL

General Provider Information

NPI Number : 1568996213
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIDGET FRANKLIN PA
Provider Business Mailing Address
First Line : PO BOX 776084
Second Line :
City : CHICAGO
State : IL
Zip : 60677-6084
Country : US
Telephone Number : 636-866-2460
Fax Number : 636-866-2450
Provider Business Practice Location Address
First Line : 2050 1ST CAPITOL DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-1647
Country : US
Telephone Number : 636-866-2460
Fax Number : 636-866-2450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2017
Last Update Date : 04/29/2024

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Directions to “ BRIDGET FRANKLIN PA” Practice Location

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