MEDICARE: JULIUS BYRD DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	04105	MD

General Provider Information

NPI Number	:	1932870037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIUS BYRD DC

Provider Business Mailing Address
First Line	:	10 LIGHT ST UNIT 819
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21202-1471
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 MERRITT BLVD
Second Line	:
City	:	DUNDALK
State	:	MD
Zip	:	21222-2113
Country	:	US
Telephone Number	:	410-285-0920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2021
Last Update Date	:	09/28/2021

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Directions to “ JULIUS BYRD DC” Practice Location

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