Byrd, Douglas William

Byrd, Douglas William is an sole proprietor health care provider with primary practice located at 1855 Lakeland Dr Suite P-231, Jackson MS 39216-4913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Byrd, Douglas William can be contacted via phone (601) 366-4696.

Contact Information

Primary practice address
1855 Lakeland Dr Suite P-231 Jackson MS 39216-4913
Phone: (601) 366-4696
Fax: (601) 366-6574
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 15999 Mississippi

Profile Details

NPI number 1477679736
LBN Legal business name Byrd, Douglas William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Jul 8th, 2007 - about 19 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 1477679736 NPPES
Mississippi MEDICAID 00125976

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