Boyle, John

Boyle, John is an individual health care provider with primary practice located at 2300 Haggerty Rd Suite # 2110, West Bloomfield MI 48323-2184. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Boyle, John can be contacted via phone (248) 926-1411.

Contact Information

Primary practice address
2300 Haggerty Rd Suite # 2110 West Bloomfield MI 48323-2184
Phone: (248) 926-1411
Fax: (248) 926-5338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X JB014559 Michigan

Profile Details

NPI number 1669470035
LBN Legal business name Boyle, John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Feb 13th, 2009 - about 17 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 1669470035 NPPES
Michigan MEDICAID 45392270
Michigan Other 7755470
Michigan Other 350F375630
Michigan Other 3008001
Michigan Other 383379540

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