Boyle, Virginia G

Boyle, Virginia G is an individual health care provider with primary practice located at 5439 W Aloha Dr Ste B, Diamondhead MS 39525-3374. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Boyle, Virginia G can be contacted via phone (228) 255-8889.

Contact Information

Primary practice address
5439 W Aloha Dr Ste B Diamondhead MS 39525-3374
Phone: (228) 255-8889
Fax: (228) 255-0890
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A1020 Mississippi
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S1020 Mississippi

Profile Details

NPI number 1073519211
LBN Legal business name Boyle, Virginia G
Credentials AUD CCC A SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Aug 13th, 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 1073519211 NPPES
Mississippi Other 125360700 AUDIOLOGY DEPT OF LABOR
Mississippi MEDICAID 09015355 AUDIOLOGY DEPT OF LABOR
Mississippi Other 876174 AUDIOLOGY DEPT OF LABOR
Mississippi Other 512I640002 AUDIOLOGY DEPT OF LABOR
Mississippi Other 1573753 AUDIOLOGY DEPT OF LABOR
Mississippi Other 7636062 AUDIOLOGY DEPT OF LABOR

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