Poindexter, Byron D.
Poindexter, Byron D. is an individual health care provider with primary practice located at 1825 Samuel Morse Dr , Reston VA 20190-5317. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Poindexter, Byron D. can be contacted via phone (703) 893-6168.Contact Information
Primary practice address
1825 Samuel Morse Dr
Reston VA 20190-5317
Phone: (703) 893-6168
Fax: (703) 790-3444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | Virginia |
Profile Details
| NPI number | 1528177516 |
|---|---|
| LBN Legal business name | Poindexter, Byron D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528177516 | NPPES |
| Virginia | Other | 463704 | NON-PAR ANTHEM PROVIDER # |
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