Byles, Micheal
Byles, Micheal is an individual health care provider with primary practice located at 2434 S Eason Blvd , Tupelo MS 38804-6942. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Byles, Micheal can be contacted via phone (662) 640-4595.Contact Information
Primary practice address
2434 S Eason Blvd
Tupelo MS 38804-6942
Phone: (662) 640-4595
Fax: (662) 680-6416
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Mississippi |
Profile Details
NPI number | 1114554912 |
---|---|
LBN Legal business name | Byles, Micheal |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2020 |
Last updated | Mar 24th, 2020 - about 5 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 | 1114554912 | NPPES |
Mississippi | MEDICAID | 00018203 |
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