Boyens, David Charles

Boyens, David Charles is an individual health care provider with primary practice located at 2785 College Rd , Fairbanks AK 99709-3751. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Boyens, David Charles can be contacted via phone (907) 374-1844.

Contact Information

Primary practice address
2785 College Rd Fairbanks AK 99709-3751
Phone: (907) 374-1844
Fax: (907) 374-1877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1629348651
LBN Legal business name Boyens, David Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2012
Last updated Jan 6th, 2012 - about 13 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 1629348651 NPPES
Alaska MEDICAID MH3237

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