Boyack, Mark

Boyack, Mark is an individual health care provider with primary practice located at 1055 N 500 W Suite 222, Provo UT 84604-3305. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Boyack, Mark can be contacted via phone (801) 377-4623.

Contact Information

Primary practice address
1055 N 500 W Suite 222 Provo UT 84604-3305
Phone: (801) 377-4623
Fax: (801) 377-6832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 279656-4405 Utah

Profile Details

NPI number 1750323986
LBN Legal business name Boyack, Mark
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 27th, 2023 - about 2 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 1750323986 NPPES
Other 500030477 PALMETTO GBA

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