Byron, Mary Josephine

Byron, Mary Josephine is an individual health care provider with primary practice located at 525 N Foote Ave Ste 302, Colorado Springs CO 80909-4501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Byron, Mary Josephine can be contacted via phone (719) 365-5445.

Contact Information

Primary practice address
525 N Foote Ave Ste 302 Colorado Springs CO 80909-4501
Phone: (719) 365-5445
Fax: (719) 365-5530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-3218 Colorado

Profile Details

NPI number 1366500779
LBN Legal business name Byron, Mary Josephine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Nov 9th, 2017 - about 8 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 1366500779 NPPES
Colorado MEDICAID 83304371

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