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

Primary practice address
144 Edenwood Dr Jackson TN 38301-3827
Phone: (731) 256-1466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548241359 NPPES
Other P00292468 RAILROAD MEDICARE
MEDICAID 3701995 RAILROAD MEDICARE

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