Boyd, Roderick Rene

Boyd, Roderick Rene is an sole proprietor health care provider with primary practice located at 460 W Oak St Ste 601 , El Dorado AR 71730-4538. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Boyd, Roderick Rene can be contacted via phone (870) 863-2515.

Contact Information

Primary practice address
460 W Oak St Ste 601 El Dorado AR 71730-4538
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 18052 Mississippi
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 32355 Oklahoma
Allopathic & Osteopathic Physicians / Surgery 208600000X MD427685 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X E-2313 Arkansas

Profile Details

NPI number 1295754075
LBN Legal business name Boyd, Roderick Rene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Aug 4th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295754075 NPPES
Pennsylvania Other 823482 FIRST PRIORITY HEALTH
Pennsylvania MEDICAID 1022246960001 FIRST PRIORITY HEALTH
Pennsylvania Other 389133 FIRST PRIORITY HEALTH
Pennsylvania MEDICAID 139088001 FIRST PRIORITY HEALTH
Pennsylvania Other 261891 FIRST PRIORITY HEALTH

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