Boyea, Steven Randolph

Boyea, Steven Randolph is an individual health care provider with primary practice located at 320 Warner Dr , Lewiston ID 83501-4441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Boyea, Steven Randolph can be contacted via phone (208) 743-3523.

Contact Information

Primary practice address
320 Warner Dr Lewiston ID 83501-4441
Phone: (208) 743-3523
Fax: (208) 746-8741
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X MD00039434 Washington
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X M-8179 Idaho

Profile Details

NPI number 1588659866
LBN Legal business name Boyea, Steven Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Apr 11th, 2019 - about 7 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 1588659866 NPPES
Washington MEDICAID 8282345
Washington MEDICAID 806117700
Washington Other J4555
Washington Other 000010033574

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