Provider Demographics
NPI:1841428208
Name:BYLER, PEGGY J (CPM)
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:J
Last Name:BYLER
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:688 DALE ENTERPRISE RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:VA
Mailing Address - Zip Code:22821-2125
Mailing Address - Country:US
Mailing Address - Phone:540-421-7543
Mailing Address - Fax:
Practice Address - Street 1:688 DALE ENTERPRISE RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:VA
Practice Address - Zip Code:22821-2125
Practice Address - Country:US
Practice Address - Phone:540-421-7543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0129000044176B00000X
TX99077176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife