Boyd, Herbert Reed

Boyd, Herbert Reed is an sole proprietor health care provider with primary practice located at 23 Goodrich Ave , Petersburg VA 23805-2119. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boyd, Herbert Reed can be contacted via phone (804) 861-5237.

Contact Information

Primary practice address
23 Goodrich Ave Petersburg VA 23805-2119
Fax: (804) 861-1601
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401005626 Virginia

Profile Details

NPI number 1942319264
LBN Legal business name Boyd, Herbert Reed
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 9th, 2007 - 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 1942319264 NPPES
Virginia Other 844394 UNITED CONCORDIA PROVIDER
Virginia MEDICAID 9179969 UNITED CONCORDIA PROVIDER
Virginia Other 006397 UNITED CONCORDIA PROVIDER

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