Bird, Mark Allen
Bird, Mark Allen is an individual health care provider with primary practice located at 159 Executive Dr Suite C, Danville VA 24541-4160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bird, Mark Allen can be contacted via phone (434) 792-5964.Contact Information
Primary practice address
159 Executive Dr Suite C
Danville VA 24541-4160
Phone: (434) 792-5964
Fax: (434) 792-5971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 010123776 | Virginia |
Profile Details
| NPI number | 1710940325 |
|---|---|
| LBN Legal business name | Bird, Mark Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Jan 10th, 2017 - about 8 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 | 1710940325 | NPPES |
| Virginia | MEDICAID | 010151163 | |
| Virginia | Other | P00223399 | |
| Virginia | Other | 177390 |
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