Provider Demographics
NPI:1104920560
Name:BYLER, NOLAN WINCIL (DO)
Entity type:Individual
Prefix:DR
First Name:NOLAN
Middle Name:WINCIL
Last Name:BYLER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:15988 EAST CHESTNUT STREET
Mailing Address - City:MOUNT EATON
Mailing Address - State:OH
Mailing Address - Zip Code:44659-0277
Mailing Address - Country:US
Mailing Address - Phone:330-359-5489
Mailing Address - Fax:330-359-5822
Practice Address - Street 1:15988 EAST CHESTNUT STREET
Practice Address - Street 2:
Practice Address - City:MT EATON
Practice Address - State:OH
Practice Address - Zip Code:44659-0277
Practice Address - Country:US
Practice Address - Phone:330-359-5489
Practice Address - Fax:330-359-5822
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2835207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E00649Medicare UPIN
BY0468962Medicare ID - Type Unspecified