Boyd, Jacob R

Boyd, Jacob R is an individual health care provider with primary practice located at 2560 Montessouri St Suite 207, Las Vegas NV 89117-3061. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Boyd, Jacob R can be contacted via phone (702) 478-8400.

Contact Information

Primary practice address
2560 Montessouri St Suite 207 Las Vegas NV 89117-3061
Phone: (702) 478-8400
Fax: (702) 478-8500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1598061715
LBN Legal business name Boyd, Jacob R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2011
Last updated Feb 4th, 2011 - about 14 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 1598061715 NPPES
Nevada MEDICAID 82
Nevada Other 82

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