Faulkner, C Byron

Faulkner, C Byron is an individual health care provider with primary practice located at 1330 E Kingsley St , Springfield MO 65804-7216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Faulkner, C Byron can be contacted via phone (417) 887-1965.

Contact Information

Primary practice address
1330 E Kingsley St Springfield MO 65804-7216
Fax: (417) 887-6499
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 104165 Missouri

Profile Details

NPI number 1104826965
LBN Legal business name Faulkner, C Byron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Oct 23rd, 2023 - about last year

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 1104826965 NPPES
Missouri MEDICAID 206699209

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