Michael Byron Birdsall
Michael Byron Birdsall is a Student in an Organized Health Care Education/Training Program in Bloomsburg, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
549 Fair St # MC61-22Bloomsburg, PA 17815-1419
Phone: (570) 416-1925
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1629707880 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 5, 2022 |
| Last updated in NPPES | March 24, 2024 |
| Certification date | March 20, 2024 |
| Mailing address | 549 Fair St # Mc61-22, Bloomsburg, PA 17815-1419 |
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