Birmingham, Gina
Birmingham, Gina is an individual health care provider with primary practice located at 525 West King Street , St. Augustine FL 32084-1086. She recently has only one registered license in Other Service Providers / Home Modifications, which is considered as her primary health care specialty. Birmingham, Gina can be contacted via phone (904) 824-0902.Contact Information
Primary practice address
525 West King Street
St. Augustine FL 32084-1086
Phone: (904) 824-0902
Fax: (904) 824-9635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X | CRC1329155 | Florida |
Profile Details
| NPI number | 1295133999 |
|---|---|
| LBN Legal business name | Birmingham, Gina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2014 |
| Last updated | Dec 11th, 2014 - about 10 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 | 1295133999 | NPPES |
| Florida | MEDICAID | 006510900 |
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