Boyle, Judith M

Boyle, Judith M is an individual health care provider with primary practice located at 501 S Burma Ave , Gillette WY 82716-3426. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Boyle, Judith M can be contacted via phone (307) 688-1000.

Contact Information

Primary practice address
501 S Burma Ave Gillette WY 82716-3426
Phone: (307) 688-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5772A Wyoming
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5772A Wyoming
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 5772A Wyoming

Profile Details

NPI number 1124062310
LBN Legal business name Boyle, Judith M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Dec 29th, 2020 - about 6 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 1124062310 NPPES
Wyoming MEDICAID 120624900

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