Bird, Jason

Bird, Jason is an sole proprietor health care provider with primary practice located at 15720 Brixham Hill Avenue 150, Charlotte NC 28227. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bird, Jason can be contacted via phone (704) 970-4791.

Contact Information

Primary practice address
15720 Brixham Hill Avenue 150 Charlotte NC 28227
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3627 Connecticut

Profile Details

NPI number 1205348281
LBN Legal business name Bird, Jason
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2017
Last updated Oct 30th, 2017 - about 8 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.

Request for update

Popular Providers