Provider Demographics
NPI:1013926518
Name:BYER, DEBRA L (DC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:L
Last Name:BYER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-2326
Mailing Address - Country:US
Mailing Address - Phone:617-332-5575
Mailing Address - Fax:617-332-5570
Practice Address - Street 1:618 CENTRE ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-2326
Practice Address - Country:US
Practice Address - Phone:617-332-5575
Practice Address - Fax:617-332-5570
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1854111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY45197Medicare ID - Type Unspecified