Bird, Mariel

Bird, Mariel is an individual health care provider with primary practice located at 987 Boardman Canfield Rd , Boardman OH 44512-4222. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Bird, Mariel can be contacted via phone (330) 965-8760.

Contact Information

Primary practice address
987 Boardman Canfield Rd Boardman OH 44512-4222
Phone: (330) 965-8760
Fax: (330) 965-9325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 006424 Arizona
Allopathic & Osteopathic Physicians / General Practice 208D00000X UO2494 Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 34.012984 Ohio

Profile Details

NPI number 1093020133
LBN Legal business name Bird, Mariel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2010
Last updated Feb 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093020133 NPPES
Arizona Other Z166728 MEDICARE PTAN

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