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:
Health care specialties
Specialty | Code | License # | 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 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 | 1891798989 | NPPES |
Tennessee | Other | 0191922 | BLUE CROSS |
Tennessee | MEDICAID | 3082265 | BLUE CROSS |
Tennessee | Other | MD021833 | BLUE CROSS |
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