Bird, Gina C.

Bird, Gina C. is an individual health care provider with primary practice located at 101 W University Ave , Champaign IL 61820-3981. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bird, Gina C. can be contacted via phone (217) 366-1248.

Contact Information

Primary practice address
101 W University Ave Champaign IL 61820-3981
Phone: (217) 366-1248
Fax: (217) 366-6100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085002358 Illinois

Profile Details

NPI number 1902813454
LBN Legal business name Bird, Gina C.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jan 5th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902813454 NPPES
Illinois Other P00168412 RAILROAD MEDICARE
Illinois Other 434110 RAILROAD MEDICARE

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