Byrd, John R

Byrd, John R is an individual health care provider with primary practice located at 1000 W 10Th St , Rolla MO 65401-2905. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Byrd, John R can be contacted via phone (573) 458-8899.

Contact Information

Primary practice address
1000 W 10Th St Rolla MO 65401-2905
Phone: (573) 458-8899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0000472 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2005035514 Missouri

Profile Details

NPI number 1518134451
LBN Legal business name Byrd, John R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2008
Last updated Sep 28th, 2018 - about 7 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 1518134451 NPPES
Missouri Other 2005035514 LICENSE

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