Byers, John Gordon
Byers, John Gordon is an individual health care provider with primary practice located at 1 Medical Park Blvd Suite 3W, Bristol TN 37620-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Byers, John Gordon can be contacted via phone (423) 844-5583.Contact Information
Primary practice address
1 Medical Park Blvd Suite 3W
Bristol TN 37620-7430
Phone: (423) 844-5583
Fax: (423) 844-5588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD0000010851 | Tennessee |
Profile Details
| NPI number | 1619960515 |
|---|---|
| LBN Legal business name | Byers, John Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Jul 25th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619960515 | NPPES |
| Tennessee | MEDICAID | 3171970 |
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