Organization
DR. BRIDGET BRASFIELD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIDGET ELLEN BRASFIELD DC (DC)
(618) 877-4000
Entity
Organization
Contact information
Practice address
2861 MADISON AVE, GRANITE CITY, IL 62040-3614
(618) 877-4000
(618) 877-0874
Mailing address
2861 MADISON AVE, GRANITE CITY, IL 62040-3614
(618) 877-4000
(618) 877-0874
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0380096461
—
IL
Enumeration date
04/01/2008
Last updated
04/01/2008
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