Bynum, Gaither D

Bynum, Gaither D is an individual health care provider with primary practice located at 101 Peabody Dr , Webster SD 57274-1061. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine. Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine is his primary health care specialty. Bynum, Gaither D can be contacted via phone (605) 345-4141.

Contact Information

Primary practice address
101 Peabody Dr Webster SD 57274-1061
Phone: (605) 345-4141
Fax: (605) 345-4135
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3770 South Dakota
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 3770 South Dakota

Profile Details

NPI number 1669479168
LBN Legal business name Bynum, Gaither D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Dec 3rd, 2013 - about 11 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 1669479168 NPPES
South Dakota MEDICAID 5611740

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