Byrd, Douglas William
Byrd, Douglas William is an sole proprietor health care provider with primary practice located at 1855 Lakeland Dr Suite P-231, Jackson MS 39216-4913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Byrd, Douglas William can be contacted via phone (601) 366-4696.Contact Information
Primary practice address
1855 Lakeland Dr Suite P-231
Jackson MS 39216-4913
Phone: (601) 366-4696
Fax: (601) 366-6574
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 15999 | Mississippi |
Profile Details
NPI number | 1477679736 |
---|---|
LBN Legal business name | Byrd, Douglas William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 21st, 2007 |
Last updated | Jul 8th, 2007 - about 18 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 | 1477679736 | NPPES |
Mississippi | MEDICAID | 00125976 |
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