Boyce, Johnnie Mack
Boyce, Johnnie Mack is an sole proprietor health care provider with primary practice located at 104 Harris Lane , Springdale AR 72764-2530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Boyce, Johnnie Mack can be contacted via phone (479) 751-0652.Contact Information
Primary practice address
104 Harris Lane
Springdale AR 72764-2530
Phone: (479) 751-0652
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | C-2676(ACTIVE STATUS | Arkansas |
Profile Details
| NPI number | 1710126529 |
|---|---|
| LBN Legal business name | Boyce, Johnnie Mack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2009 |
| Last updated | Feb 18th, 2009 - about 16 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 | 1710126529 | NPPES |
| Arkansas | MEDICAID | 117073001 |
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