Boyd, Daniel Street

Boyd, Daniel Street is an individual health care provider with primary practice located at 2911 Brunswick Rd , Memphis TN 38133-4105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Boyd, Daniel Street can be contacted via phone (901) 377-4700.

Contact Information

Primary practice address
2911 Brunswick Rd Memphis TN 38133-4105
Phone: (901) 377-4700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD021833 Tennessee

Profile Details

NPI number 1891798989
LBN Legal business name Boyd, Daniel Street
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jan 21st, 2008 - about 17 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 1891798989 NPPES
Tennessee Other 0191922 BLUE CROSS
Tennessee MEDICAID 3082265 BLUE CROSS
Tennessee Other MD021833 BLUE CROSS

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