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
Phone: (870) 863-2515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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