O'Byrne, Rachel Eileen

O'Byrne, Rachel Eileen is an individual health care provider with primary practice located at 21099 Masonic Blvd , Saint Clair Shores MI 48082-1045. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. O'Byrne, Rachel Eileen can be contacted via phone (586) 296-6213.

Contact Information

Primary practice address
21099 Masonic Blvd Saint Clair Shores MI 48082-1045
Phone: (586) 296-6213
Fax: (586) 296-8180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301086067 Michigan

Profile Details

NPI number 1376503151
LBN Legal business name O'Byrne, Rachel Eileen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Mar 25th, 2015 - about 9 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 1376503151 NPPES
Michigan MEDICAID 4760631
Michigan Other 700E031610

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