Provider Demographics
NPI:1487079950
Name:BRIDGING YOUR HEALTH, INC.
Entity type:Organization
Organization Name:BRIDGING YOUR HEALTH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EVE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUESTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DDS
Authorized Official - Phone:303-938-1161
Mailing Address - Street 1:1068 S 88TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9461
Mailing Address - Country:US
Mailing Address - Phone:303-938-1161
Mailing Address - Fax:303-539-9875
Practice Address - Street 1:1068 S 88TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-9461
Practice Address - Country:US
Practice Address - Phone:303-938-1161
Practice Address - Fax:303-539-9875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO39080261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty