Boyce, Mark William
Boyce, Mark William is an individual health care provider with primary practice located at 400 E 3Rd St , Duluth MN 55805-1951. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Boyce, Mark William can be contacted via phone (218) 786-8364.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 26920 | Minnesota |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 26920 | Minnesota |
Profile Details
| NPI number | 1508881186 |
|---|---|
| LBN Legal business name | Boyce, Mark William |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Aug 16th, 2011 - about 15 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 | 1508881186 | NPPES |
| Minnesota | MEDICAID | 685863500 |
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