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Contact Information

JOHN P BIRDSELL, PA-C
7426 GOODWALT AVE
CLEVELAND, OH44102-2033
 Phone: 216-832-3394
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOHN P BIRDSELL · (Male)

NPI Number 1700971694
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/04/2006
Last updated 08/30/2012 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
OH License # 50 000903
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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