Bird, Jeremy Joseph
Bird, Jeremy Joseph is an individual health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Bird, Jeremy Joseph can be contacted via phone (800) 926-8273.Contact Information
Primary practice address
200 W Arbor Dr
San Diego CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 53170 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 53170 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 200447 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP06311 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 18833 | California |
Profile Details
| NPI number | 1447586144 |
|---|---|
| LBN Legal business name | Bird, Jeremy Joseph |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2009 |
| Last updated | Aug 30th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447586144 | NPPES |
| Mississippi | MEDICAID | 01528549 | |
| Mississippi | MEDICAID | 2133845 |
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