Hissom, Byron Rolf
Hissom, Byron Rolf is an individual health care provider with primary practice located at 1500 E Sherman Blvd , Muskegon MI 49444-1849. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Hissom, Byron Rolf can be contacted via phone (231) 672-3883.Contact Information
Primary practice address
1500 E Sherman Blvd
Muskegon MI 49444-1849
Phone: (231) 672-3883
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301061003 | Michigan |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 4301061003 | Michigan |
Profile Details
| NPI number | 1780653659 |
|---|---|
| LBN Legal business name | Hissom, Byron Rolf |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Apr 23rd, 2022 - about 4 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 | 1780653659 | NPPES |
| Michigan | MEDICAID | 4287324 |
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