Bird, Shawn J
Bird, Shawn J is an individual health care provider with primary practice located at 3400 Civic Center Blvd 2Nd Floor, South Pavilion, Philadelphia PA 19104-5127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bird, Shawn J can be contacted via phone (215) 662-3606.Contact Information
Primary practice address
3400 Civic Center Blvd 2Nd Floor, South Pavilion
Philadelphia PA 19104-5127
Phone: (215) 662-3606
Fax: (215) 243-2312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD039328E | Pennsylvania |
Profile Details
| NPI number | 1770517427 |
|---|---|
| LBN Legal business name | Bird, Shawn J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Aug 3rd, 2015 - about 9 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 | 1770517427 | NPPES |
| Pennsylvania | MEDICAID | 0011550540001 |
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