Boyer, Aaron Taylor

Boyer, Aaron Taylor is an sole proprietor health care provider with primary practice located at 2416 S Falcon Blvd , Peoria IL 61607-5004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Boyer, Aaron Taylor can be contacted via phone (309) 633-5255.

Contact Information

Primary practice address
2416 S Falcon Blvd Peoria IL 61607-5004
Fax: (309) 633-5304
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 036-114490 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-114490 Illinois

Profile Details

NPI number 1104811058
LBN Legal business name Boyer, Aaron Taylor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2005
Last updated Feb 23rd, 2024 - about 2 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 1104811058 NPPES
Illinois Other 036114490 LICENSE

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