Byrd, Samuel J
Byrd, Samuel J is an individual health care provider with primary practice located at 1621 Willow St , Vincennes IN 47591-4211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Byrd, Samuel J can be contacted via phone (812) 882-2400.Contact Information
Primary practice address
1621 Willow St
Vincennes IN 47591-4211
Phone: (812) 882-2400
Fax: (812) 882-2422
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01058714A | Indiana |
Profile Details
NPI number | 1790788081 |
---|---|
LBN Legal business name | Byrd, Samuel J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2005 |
Last updated | May 17th, 2011 - about 13 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 | 1790788081 | NPPES |
Indiana | Other | 000000325459 | BCBS PIN |
Indiana | MEDICAID | 200475520 | BCBS PIN |
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