Boyle, Walter A

Boyle, Walter A is an individual health care provider with primary practice located at 44791 Baywood Dr , Mendocino CA 95460-9527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Boyle, Walter A can be contacted via phone (314) 324-3425.

Contact Information

Primary practice address
44791 Baywood Dr Mendocino CA 95460-9527
Phone: (314) 324-3425
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 036.148697 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X R6H50 Missouri
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X G49981 California

Profile Details

NPI number 1093733727
LBN Legal business name Boyle, Walter A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated May 11th, 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 1093733727 NPPES
Missouri MEDICAID 202577300
Missouri MEDICAID ENROLLED

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