Bird, Jeffrey
Bird, Jeffrey is an individual health care provider with primary practice located at 40 Enon St , Beverly MA 01915-1168. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Bird, Jeffrey can be contacted via phone (978) 922-5996.Contact Information
Primary practice address
40 Enon St
Beverly MA 01915-1168
Phone: (978) 922-5996
Fax: (978) 922-5997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 1881 | Massachusetts |
Profile Details
| NPI number | 1316348543 |
|---|---|
| LBN Legal business name | Bird, Jeffrey |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2014 |
| Last updated | Sep 8th, 2014 - about 11 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 | 1316348543 | NPPES |
| Massachusetts | MEDICAID | 156FX18004 |
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