Boykin, Mayola W

Boykin, Mayola W is an individual health care provider with primary practice located at 2201 Lexington Ave , Ashland KY 41101-2843. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Boykin, Mayola W can be contacted via phone (606) 408-4000.

Contact Information

Primary practice address
2201 Lexington Ave Ashland KY 41101-2843
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 36701 Kentucky

Profile Details

NPI number 1104995091
LBN Legal business name Boykin, Mayola W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Aug 16th, 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 1104995091 NPPES
Ohio MEDICAID 2263956
Ohio MEDICAID 3002780000
Ohio Other 300123147
Ohio MEDICAID 64034317

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