Byerly, Matthew John
Byerly, Matthew John is an individual health care provider with primary practice located at 1001 N Minneapolis St , Wichita KS 67214-3127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Byerly, Matthew John can be contacted via phone (316) 293-2647.Contact Information
Primary practice address
1001 N Minneapolis St
Wichita KS 67214-3127
Phone: (316) 293-2647
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | K5843 | Texas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 04-45614 | Kansas |
Profile Details
| NPI number | 1760440614 |
|---|---|
| LBN Legal business name | Byerly, Matthew John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jun 20th, 2023 - about last year |
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 | 1760440614 | NPPES |
| Texas | MEDICAID | 038194901 | |
| Texas | MEDICAID | 30004789240001 |
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