Byrum, Colette

Byrum, Colette is an individual health care provider with primary practice located at 3883 74Th Ave Ne , Fort Totten ND 58335-0309. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiography, Technologists, Technicians & Other Technical Service Providers / Mammography, Technologists, Technicians & Other Technical Service Providers / Sonography. Technologists, Technicians & Other Technical Service Providers / Sonography is her primary health care specialty. Byrum, Colette can be contacted via phone (701) 766-1629.

Contact Information

Primary practice address
3883 74Th Ave Ne Fort Totten ND 58335-0309
Phone: (701) 766-1629
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X
Technologists, Technicians & Other Technical Service Providers / Mammography 2471M2300X
Technologists, Technicians & Other Technical Service Providers / Sonography 2471S1302X

Profile Details

NPI number 1861676728
LBN Legal business name Byrum, Colette
Credentials BSRT(R)(M)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2007
Last updated Dec 27th, 2007 - about 18 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 1861676728 NPPES
North Dakota MEDICAID 001061

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