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:
Health care specialties
| Specialty | Code | License # | 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 14 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 | 1912062951 | NPPES |
| Florida | Other | 65-1269317 | SOCIAL WORKER |
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