Boyd, Derrick

Boyd, Derrick is an sole proprietor health care provider with primary practice located at 561 Fairthorne Ave. Fairmount Behavioral Health System, Philadelphia PA 19128. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Boyd, Derrick can be contacted via phone (215) 582-3405.

Contact Information

Primary practice address
561 Fairthorne Ave. Fairmount Behavioral Health System Philadelphia PA 19128
Phone: (215) 582-3405
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA003235L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA003235L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA003235L Pennsylvania

Profile Details

NPI number 1962668657
LBN Legal business name Boyd, Derrick
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2008
Last updated May 1st, 2015 - about 10 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.

Request for update

Popular Providers