Bird, Martha

Bird, Martha is an individual health care provider with primary practice located at 2 Professional Park Dr Ste 21 , Johnson City TN 37604-6584. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Bird, Martha can be contacted via phone (423) 379-8120.

Contact Information

Primary practice address
2 Professional Park Dr Ste 21 Johnson City TN 37604-6584
Phone: (423) 379-8120
Fax: (423) 379-8153
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 45132 Tennessee
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 45132 Tennessee

Profile Details

NPI number 1417138512
LBN Legal business name Bird, Martha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2007
Last updated Jan 16th, 2024 - about 11 months 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 1417138512 NPPES
Tennessee Other 3714470 GROUP TN MEDICARE NUMBER
Tennessee MEDICAID 1514506 GROUP TN MEDICARE NUMBER

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