Byron, Charles Alan

Byron, Charles Alan is an individual health care provider with primary practice located at 1900 Harrison Rd , Panama City FL 32405. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Byron, Charles Alan can be contacted via phone (850) 769-1668.

Contact Information

Primary practice address
1900 Harrison Rd Panama City FL 32405
Phone: (850) 769-1668
Fax: (850) 785-2123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3642 Florida

Profile Details

NPI number 1376510560
LBN Legal business name Byron, Charles Alan
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated May 8th, 2014 - about 12 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 1376510560 NPPES
Florida Other E5077 BLUE CROSS

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