Byard, Mark Allen
Byard, Mark Allen is an individual health care provider with primary practice located at 4370 W Main St , Dothan AL 36305-1056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Byard, Mark Allen can be contacted via phone (334) 793-5000.Contact Information
Primary practice address
4370 W Main St
Dothan AL 36305-1056
Phone: (334) 793-5000
Fax: (334) 615-8418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 26286 | Alabama |
Profile Details
| NPI number | 1043205164 |
|---|---|
| LBN Legal business name | Byard, Mark Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Oct 12th, 2020 - about 4 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 | 1043205164 | NPPES |
| Alabama | MEDICAID | 051555203 | |
| Alabama | MEDICAID | 945575290A |
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