Bird, Mary
Bird, Mary is an sole proprietor health care provider with primary practice located at 590 North Poplar Fork Rd , Hurricane WV 25526-9434. She recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as her primary health care specialty. Bird, Mary can be contacted via phone (304) 757-7826.Contact Information
Primary practice address
590 North Poplar Fork Rd
Hurricane WV 25526-9434
Phone: (304) 757-7826
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 51658 | West Virginia |
Profile Details
| NPI number | 1508254319 |
|---|---|
| LBN Legal business name | Bird, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2014 |
| Last updated | Dec 31st, 2014 - about 11 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 | 1508254319 | NPPES |
| West Virginia | Other | 51658 | RN BOARD |
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