# DR. JOHN BIRDSALL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1306250006
- **Gender:** Man
- **Credential:** ND, LDN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | 164.006907 | IL | — |
| 175F00000X | Naturopath | 099.0098042 | VT | Yes |

## Other

- **Enumeration date:** 06/20/2014
- **Last updated:** 08/26/2016