Bird, Jeremy

Bird, Jeremy is an individual health care provider with primary practice located at 3801 Santa Rosa Dr Ste 400 , Kingman AZ 86401-2311. 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, Jeremy can be contacted via phone (928) 681-8530.

Contact Information

Primary practice address
3801 Santa Rosa Dr Ste 400 Kingman AZ 86401-2311
Phone: (928) 681-8530
Fax: (928) 681-8741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1194350454
LBN Legal business name Bird, Jeremy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2020
Last updated Apr 24th, 2020 - about 5 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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