Wilkes, Byron N
Wilkes, Byron N is an individual health care provider with primary practice located at 3805 West 28Th , Pine Bluff AR 71603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Wilkes, Byron N can be contacted via phone (870) 536-4100.Contact Information
Primary practice address
3805 West 28Th
Pine Bluff AR 71603
Phone: (870) 536-4100
Fax: (870) 536-9020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 44011 | Kentucky |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 48307 | Tennessee |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 44011 | Kentucky |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | E7828 | Arkansas |
Profile Details
| NPI number | 1710101977 |
|---|---|
| LBN Legal business name | Wilkes, Byron N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Nov 12th, 2020 - about 5 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 | 1710101977 | NPPES |
| Indiana | MEDICAID | 201012220 | |
| Indiana | Other | 124105 | |
| Indiana | MEDICAID | 193042001 | |
| Indiana | Other | 000000704725 | |
| Indiana | MEDICAID | 1529033 | |
| Indiana | MEDICAID | 7100137070 |
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