Byrd, Taekwondo Jonohn

Byrd, Taekwondo Jonohn is an individual health care provider with primary practice located at 9395 Crown Crest Blvd , Parker CO 80138-8573. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Byrd, Taekwondo Jonohn can be contacted via phone (303) 269-4000.

Contact Information

Primary practice address
9395 Crown Crest Blvd Parker CO 80138-8573
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DR.0053368 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0053368 Colorado

Profile Details

NPI number 1770862815
LBN Legal business name Byrd, Taekwondo Jonohn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2011
Last updated May 13th, 2024 - about 7 months 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 1770862815 NPPES
Colorado MEDICAID 59433752
Colorado Other 029546
Colorado Other P01373713

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