Provider Demographics
NPI:1073791737
Name:BYRON E. WHITE ENT.
Entity Type:Organization
Organization Name:BYRON E. WHITE ENT.
Other - Org Name:AKABYRON WHITE HEALTHCARE LIFTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-883-6579
Mailing Address - Street 1:2801 LINCOYA DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-1821
Mailing Address - Country:US
Mailing Address - Phone:615-883-6579
Mailing Address - Fax:615-883-0065
Practice Address - Street 1:2801 LINCOYA DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-1821
Practice Address - Country:US
Practice Address - Phone:615-883-6579
Practice Address - Fax:615-883-0065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN815332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1454123Medicaid
TN4115500001Medicare NSC