Provider Demographics
NPI:1255527172
Name:BYRNE, ROBERT PATRICK (DC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:PATRICK
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 1:481 NORTH CENTRAL AVENUE
Mailing Address - Street 2:SUITE B
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786
Mailing Address - Country:US
Mailing Address - Phone:909-946-8900
Mailing Address - Fax:909-946-8958
Practice Address - Street 1:481 NORTH CENTRAL AVENUE
Practice Address - Street 2:SUITE B
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786
Practice Address - Country:US
Practice Address - Phone:909-946-8900
Practice Address - Fax:909-946-8958
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0158281Medicare PIN
CADC0158280Medicare PIN