Byrd, Taekwondo Jonohn
Byrd, Taekwondo Jonohn is an individual health care provider with primary practice located at 9395 Crown Crest Blvd , Parker CO 80138-8573. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Byrd, Taekwondo Jonohn can be contacted via phone (303) 269-4000.Contact Information
Primary practice address
9395 Crown Crest Blvd
Parker CO 80138-8573
Phone: (303) 269-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | DR.0053368 | Colorado |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DR.0053368 | Colorado |
Profile Details
| NPI number | 1770862815 |
|---|---|
| LBN Legal business name | Byrd, Taekwondo Jonohn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2011 |
| Last updated | May 13th, 2024 - about 2 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 | 1770862815 | NPPES |
| Colorado | MEDICAID | 59433752 | |
| Colorado | Other | 029546 | |
| Colorado | Other | P01373713 |
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