Boyd, Bruce K.

Boyd, Bruce K. is an sole proprietor health care provider with primary practice located at 211 Alcorn Dr , Corinth MS 38834-8400. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Boyd, Bruce K. can be contacted via phone (662) 286-2700.

Contact Information

Primary practice address
211 Alcorn Dr Corinth MS 38834-8400
Phone: (662) 286-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X DPM0000000341 Tennessee
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 80100 Mississippi

Profile Details

NPI number 1386715514
LBN Legal business name Boyd, Bruce K.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2006
Last updated Jul 23rd, 2013 - about 12 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 1386715514 NPPES
Other 7917 TLC
Other UNITED HEALTHCARE TLC
MEDICAID 00110447 TLC
Other 2005806 TLC

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