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Individual

BRIDGET E HECKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1140 S KNOXVILLE AVE STE B, SAINT MARYS, OH 45885-2609
(419) 394-7314
(419) 394-7313
Mailing address
200 SAINT CLAIR AVE, SAINT MARYS, OH 45885-2400
(419) 300-1129
(419) 394-7313

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
COA-00663-NM
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1447288717
GROUP NPI
OH
05
2070459
OH
01
9934723
MEDICARE GROUP PTAN
OH
01
H295760
MEDICARE INDIVIDUAL PTAN
OH
Enumeration date
07/11/2006
Last updated
04/19/2021
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