Byers, Gregary

Byers, Gregary is an sole proprietor health care provider with primary practice located at 107 Tennessee St , Bolivar TN 38008-1822. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Byers, Gregary can be contacted via phone (731) 212-3196.

Contact Information

Primary practice address
107 Tennessee St Bolivar TN 38008-1822
Phone: (731) 212-3196
Fax: (731) 212-3193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18850 Tennessee

Profile Details

NPI number 1144636119
LBN Legal business name Byers, Gregary
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2014
Last updated Nov 17th, 2017 - 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 1144636119 NPPES
Tennessee MEDICAID Q010912

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