Byron, Roderick Ralph

Byron, Roderick Ralph is an individual health care provider with primary practice located at 924 1St St Ne , Faribault MN 55021-5441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Byron, Roderick Ralph can be contacted via phone (507) 333-3300.

Contact Information

Primary practice address
924 1St St Ne Faribault MN 55021-5441
Phone: (507) 333-3300
Fax: (507) 333-3214
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 11660 South Dakota
Allopathic & Osteopathic Physicians / Surgery 208600000X 27308 Minnesota

Profile Details

NPI number 1003849092
LBN Legal business name Byron, Roderick Ralph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Mar 23rd, 2022 - about 3 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 1003849092 NPPES
Other 020045514 RAIL ROAD MEDICARE
MEDICAID 088448100 RAIL ROAD MEDICARE

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