Byrne, John J

Byrne, John J is an individual health care provider with primary practice located at 8545 Common Road Suite 200, Warren MI 48093-2599. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Byrne, John J can be contacted via phone (586) 751-0732.

Contact Information

Primary practice address
8545 Common Road Suite 200 Warren MI 48093-2599
Fax: (586) 751-3822
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301059566 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301059566 Michigan

Profile Details

NPI number 1700860103
LBN Legal business name Byrne, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
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 1700860103 NPPES
Michigan MEDICAID 4113540

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