Boyle, Thomas Michael

Boyle, Thomas Michael is an sole proprietor health care provider with primary practice located at 123 Margaret Lane Ste B2, Grass Valley CA 95945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Boyle, Thomas Michael can be contacted via phone (530) 274-3509.

Contact Information

Primary practice address
123 Margaret Lane Ste B2 Grass Valley CA 95945
Phone: (530) 274-3509
Fax: (530) 272-2072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G56911 California

Profile Details

NPI number 1467483966
LBN Legal business name Boyle, Thomas Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Nov 25th, 2008 - about 18 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 1467483966 NPPES
California MEDICAID 00G569110

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