Byrne, Annetta Margaret

Byrne, Annetta Margaret is an individual health care provider with primary practice located at 22480 Kelly Rd Suite A, Eastpointe MI 48021-2623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Byrne, Annetta Margaret can be contacted via phone (586) 771-1211.

Contact Information

Primary practice address
22480 Kelly Rd Suite A Eastpointe MI 48021-2623
Fax: (586) 771-2189
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301055337 Michigan

Profile Details

NPI number 1558353458
LBN Legal business name Byrne, Annetta Margaret
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jul 8th, 2007 - about 17 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 1558353458 NPPES
Michigan MEDICAID 3237220

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