Bird, Douglas John

Bird, Douglas John is an sole proprietor health care provider with primary practice located at 4102 Pinion Drive 10Th Medical Group, Usaf Academy CO 80840-2502. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bird, Douglas John can be contacted via phone (719) 333-5250.

Contact Information

Primary practice address
4102 Pinion Drive 10Th Medical Group Usaf Academy CO 80840-2502
Phone: (719) 333-5250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1750546289
LBN Legal business name Bird, Douglas John
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2008
Last updated Jan 26th, 2017 - about 8 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 1750546289 NPPES
Other 1082401 NCCPA

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