Byrd, Charles R.

Byrd, Charles R. is an sole proprietor health care provider with primary practice located at 2751 Albert L Bicknell Dr Ste. 3-D, Shreveport LA 71103-3920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Byrd, Charles R. can be contacted via phone (318) 221-4755.

Contact Information

Primary practice address
2751 Albert L Bicknell Dr Ste. 3-D Shreveport LA 71103-3920
Phone: (318) 221-4755
Fax: (318) 424-3642
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X CDS.005128-MD Louisiana

Profile Details

NPI number 1912966771
LBN Legal business name Byrd, Charles R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2006
Last updated Jun 21st, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912966771 NPPES
Louisiana MEDICAID 1113361

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