Byrne, Gordon B

Byrne, Gordon B is an individual health care provider with primary practice located at 1 Petro Pl Ste 2 , Girard OH 44420-3123. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Sports Physician is his primary health care specialty. Byrne, Gordon B can be contacted via phone (330) 545-8170.

Contact Information

Primary practice address
1 Petro Pl Ste 2 Girard OH 44420-3123
Phone: (330) 545-8170
Fax: (330) 545-5917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2576 Ohio
Chiropractic Providers / Sports Physician 111NS0005X 2576 Ohio

Profile Details

NPI number 1114920725
LBN Legal business name Byrne, Gordon B
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Apr 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114920725 NPPES
Ohio MEDICAID 2068393
Ohio Other 34-1860598
Ohio Other 2576

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