Boyd, Benjamin Samuel

Boyd, Benjamin Samuel is an individual health care provider with primary practice located at 1900 Powell St Ste 6079, Emeryville CA 94608-1811. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Boyd, Benjamin Samuel can be contacted via phone (510) 593-7062.

Contact Information

Primary practice address
1900 Powell St Ste 6079 Emeryville CA 94608-1811
Phone: (510) 593-7062
Fax: (510) 336-2654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 27777 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 27777 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 27777 California

Profile Details

NPI number 1679852420
LBN Legal business name Boyd, Benjamin Samuel
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2011
Last updated Apr 5th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679852420 NPPES
California Other FM306Z MEDICARE PTAN

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