Provider Demographics
NPI:1437171832
Name:BYRNES, WILLIAM M (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:M
Last Name:BYRNES
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 1:33 SEA ST
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02191-1416
Mailing Address - Country:US
Mailing Address - Phone:781-335-7671
Mailing Address - Fax:781-335-7856
Practice Address - Street 1:33 SEA ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02191-1416
Practice Address - Country:US
Practice Address - Phone:781-335-7671
Practice Address - Fax:781-335-7856
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1448111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3483121OtherAETNA INS.
MAAA15544OtherHARVARD PILGRIM INS.
MAY39572OtherBLUECROSS/BLUESHIELD
MAAA15544OtherHARVARD PILGRIM INS.