Boynton, Samuel J.
Boynton, Samuel J. is an individual health care provider with primary practice located at 3417 Ensign Rd Ne , Olympia WA 98506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Boynton, Samuel J. can be contacted via phone (360) 493-4600.Contact Information
Primary practice address
3417 Ensign Rd Ne
Olympia WA 98506
Phone: (360) 493-4600
Fax: (360) 493-4603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301088520 | Michigan |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101256955 | Virginia |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD60681523 | Washington |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 54901 | Minnesota |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD60681523 | Washington |
Profile Details
| NPI number | 1083827992 |
|---|---|
| LBN Legal business name | Boynton, Samuel J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2007 |
| Last updated | May 24th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083827992 | NPPES |
| Washington | Other | 0375504 | LABOR & INDUSTRY |
| Washington | MEDICAID | 2068886 | LABOR & INDUSTRY |
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