Bird, Douglas John
Bird, Douglas John is an sole proprietor health care provider with primary practice located at 4102 Pinion Drive 10Th Medical Group, Usaf Academy CO 80840-2502. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bird, Douglas John can be contacted via phone (719) 333-5250.Contact Information
Primary practice address
4102 Pinion Drive 10Th Medical Group
Usaf Academy CO 80840-2502
Phone: (719) 333-5250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1750546289 |
|---|---|
| LBN Legal business name | Bird, Douglas John |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2008 |
| Last updated | Jan 26th, 2017 - about 7 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 | 1750546289 | NPPES |
| Other | 1082401 | NCCPA |
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