Boyken, Mark E.

Boyken, Mark E. is an individual health care provider with primary practice located at 204 S Adams St , Saint Croix Falls WI 54024-9449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boyken, Mark E. can be contacted via phone (715) 483-0429.

Contact Information

Primary practice address
204 S Adams St Saint Croix Falls WI 54024-9449
Phone: (715) 483-0429
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18849 Wisconsin

Profile Details

NPI number 1265541106
LBN Legal business name Boyken, Mark E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 19 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 1265541106 NPPES
Other 0106271 MEDICA
Other 484520562006 MEDICA
MEDICAID 31160900 MEDICA
Other 64Q24BO MEDICA
Other NA9030224002 MEDICA
Other 27G30BO MEDICA
Other HP10162 MEDICA

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