Individual
DR. GORDON B BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1 PETRO PL STE 2, GIRARD, OH 44420-3123
(330) 545-8170
(330) 545-5917
Mailing address
1 PETRO PL STE 2, GIRARD, OH 44420-3123
(330) 545-8170
(330) 545-5917
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2576
OH
111NS0005X
Sports Physician Chiropractor
Primary
2576
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2068393
—
OH
01
—
2576
LICENSE
OH
01
—
34-1860598
TAX ID
OH
Enumeration date
05/27/2005
Last updated
04/25/2024
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