O'Byrne, Brian E

O'Byrne, Brian E is an individual health care provider with primary practice located at 2860 Channing Way Ste 117, Idaho Falls ID 83404-7532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. O'Byrne, Brian E can be contacted via phone (208) 523-2470.

Contact Information

Primary practice address
2860 Channing Way Ste 117 Idaho Falls ID 83404-7532
Phone: (208) 523-2470
Fax: (208) 523-1118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M6123 Idaho

Profile Details

NPI number 1801896717
LBN Legal business name O'Byrne, Brian E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Dec 22nd, 2010 - about 14 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 1801896717 NPPES
Idaho MEDICAID 000084200

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