Bynum, Gaither D.

Bynum, Gaither D. is an individual health care provider with primary practice located at 2635 N 7Th St Ste 4205 , Grand Junction CO 81501-8209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bynum, Gaither D. can be contacted via phone (970) 298-7049.

Contact Information

Primary practice address
2635 N 7Th St Ste 4205 Grand Junction CO 81501-8209
Phone: (970) 298-7049
Fax: (970) 298-2079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45316 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44569 Colorado

Profile Details

NPI number 1619940459
LBN Legal business name Bynum, Gaither D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jan 8th, 2014 - about 12 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 1619940459 NPPES
Colorado MEDICAID 66835216
Colorado MEDICAID 34471400

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