Byrnes, Eilis Wagner

Byrnes, Eilis Wagner is an individual health care provider with primary practice located at 109 Genesee St , Oneida NY 13421-2703. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Byrnes, Eilis Wagner can be contacted via phone (315) 231-5530.

Contact Information

Primary practice address
109 Genesee St Oneida NY 13421-2703
Fax:
Website:

Profile Details

NPI number 1043374739
LBN Legal business name Byrnes, Eilis Wagner
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Aug 22nd, 2022 - about 2 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 1043374739 NPPES
New York MEDICAID 02524418
New York Other J400218676

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