Bird, Jeffrey C

Bird, Jeffrey C is an individual health care provider with primary practice located at 221 N Celia Ave , Muncie IN 47303-4609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bird, Jeffrey C can be contacted via phone (765) 741-2999.

Contact Information

Primary practice address
221 N Celia Ave Muncie IN 47303-4609
Phone: (765) 741-2999
Fax: (765) 747-3175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01036121 Indiana

Profile Details

NPI number 1104815273
LBN Legal business name Bird, Jeffrey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Mar 2nd, 2011 - about 14 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 1104815273 NPPES
Indiana MEDICAID 100351880

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