Erstine, Byron Drake
Erstine, Byron Drake is an individual health care provider with primary practice located at 2907 Hillrise Dr , Las Cruces NM 88011-4701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Erstine, Byron Drake can be contacted via phone (575) 449-8949.Contact Information
Primary practice address
2907 Hillrise Dr
Las Cruces NM 88011-4701
Phone: (575) 449-8949
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | A-1900-15 | New Mexico |
Profile Details
NPI number | 1487847174 |
---|---|
LBN Legal business name | Erstine, Byron Drake |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 25th, 2007 |
Last updated | Feb 2nd, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487847174 | NPPES |
Oklahoma | MEDICAID | 200245010A | |
Oklahoma | MEDICAID | 177624003 | |
Oklahoma | MEDICAID | 21423059 |
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