Provider Demographics
NPI:1306967807
Name:DRS BYERS & BIRNBAUM INC
Entity type:Organization
Organization Name:DRS BYERS & BIRNBAUM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGREGOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-953-9014
Mailing Address - Street 1:35040 CHARDON RD STE G200
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-9055
Mailing Address - Country:US
Mailing Address - Phone:440-953-9014
Mailing Address - Fax:440-953-9173
Practice Address - Street 1:35040 CHARDON RD STE G200
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-9055
Practice Address - Country:US
Practice Address - Phone:440-953-9014
Practice Address - Fax:440-953-9173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH47631207R00000X
OH39718207R00000X
261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty