Bird, Mary Cora

Bird, Mary Cora is an sole proprietor health care provider with primary practice located at 1361 13Th Ave S Suite 215, Jacksonville Beach FL 32250-3233. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bird, Mary Cora can be contacted via phone (904) 249-6264.

Contact Information

Primary practice address
1361 13Th Ave S Suite 215 Jacksonville Beach FL 32250-3233
Phone: (904) 249-6264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW806 Florida

Profile Details

NPI number 1912062951
LBN Legal business name Bird, Mary Cora
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Sep 17th, 2012 - about 13 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 1912062951 NPPES
Florida Other 65-1269317 SOCIAL WORKER

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