Boyer, Jerrel H

Boyer, Jerrel H is an individual health care provider with primary practice located at 3000 N Halsted St Ste 509 , Chicago IL 60657-5194. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Boyer, Jerrel H can be contacted via phone (773) 629-6666.

Contact Information

Primary practice address
3000 N Halsted St Ste 509 Chicago IL 60657-5194
Phone: (773) 629-6666
Fax: (737) 296-9999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 02714 Kentucky
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036-125876 Illinois

Profile Details

NPI number 1083785075
LBN Legal business name Boyer, Jerrel H
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jan 31st, 2022 - about 4 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 1083785075 NPPES
Kentucky MEDICAID 64034762

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