Byron, Thomas W

Byron, Thomas W is an individual health care provider with primary practice located at 2800 Memorial Hwy , Dallas PA 18612-1569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Byron, Thomas W can be contacted via phone (570) 675-7637.

Contact Information

Primary practice address
2800 Memorial Hwy Dallas PA 18612-1569
Fax: (570) 675-7882
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X MD024634E Pennsylvania

Profile Details

NPI number 1659302206
LBN Legal business name Byron, Thomas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Sep 16th, 2016 - 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 1659302206 NPPES
Pennsylvania Other 000407060 BLUE SHIELD
Pennsylvania Other 072017 BLUE SHIELD
Pennsylvania MEDICAID 0007769380002 BLUE SHIELD

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