Bird, Allan David
Bird, Allan David is an sole proprietor health care provider with primary practice located at 840 Church St Ne Ste F1 , Marietta GA 30060-8943. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bird, Allan David can be contacted via phone (770) 428-8417.Contact Information
Primary practice address
840 Church St Ne Ste F1
Marietta GA 30060-8943
Phone: (770) 428-8417
Fax: (770) 421-0935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 625 | Georgia |
Profile Details
| NPI number | 1720188535 |
|---|---|
| LBN Legal business name | Bird, Allan David |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720188535 | NPPES |
| Georgia | MEDICAID | 00250456A |
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