Provider Demographics
NPI:1134280167
Name:BYRNE, STEVE (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:BYRNE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 NORTHLAND DR NE STE A
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-1418
Mailing Address - Country:US
Mailing Address - Phone:616-866-6083
Mailing Address - Fax:616-863-9237
Practice Address - Street 1:355 NORTHLAND DR NE STE A
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-1418
Practice Address - Country:US
Practice Address - Phone:616-866-6083
Practice Address - Fax:616-863-9237
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISB008116111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIV86740Medicare UPIN