Breeding, Byron Michael
Breeding, Byron Michael is an individual health care provider with primary practice located at 144 Edenwood Dr , Jackson TN 38301-3827. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Breeding, Byron Michael can be contacted via phone (731) 256-1466.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA0000001272 | Tennessee |
Profile Details
| NPI number | 1548241359 |
|---|---|
| LBN Legal business name | Breeding, Byron Michael |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Sep 30th, 2009 - about 15 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 | 1548241359 | NPPES |
| Other | P00292468 | RAILROAD MEDICARE | |
| MEDICAID | 3701995 | RAILROAD MEDICARE |
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