Provider Demographics
NPI:1437181260
Name:WILBERT & WILLIAM BYRNE CO LPA
Entity Type:Organization
Organization Name:WILBERT & WILLIAM BYRNE CO LPA
Other - Org Name:BYRNE CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:WILBERT
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:BYRNE
Authorized Official - Suffix:
Authorized Official - Credentials:CHIROPRACTOR
Authorized Official - Phone:513-232-5090
Mailing Address - Street 1:8595 BEECHMONT AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4783
Mailing Address - Country:US
Mailing Address - Phone:513-232-5090
Mailing Address - Fax:
Practice Address - Street 1:8595 BEECHMONT AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4783
Practice Address - Country:US
Practice Address - Phone:513-232-5090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1437111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========Medicare UPIN
OHBY0682601Medicare ID - Type Unspecified