Boyd, Jon Wesley
Boyd, Jon Wesley is an individual health care provider with primary practice located at 236 Highland Ave , Somerville MA 02143-1495. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Boyd, Jon Wesley can be contacted via phone (617) 591-6300.Contact Information
Primary practice address
236 Highland Ave
Somerville MA 02143-1495
Phone: (617) 591-6300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 78566 | Massachusetts |
Profile Details
| NPI number | 1932140258 |
|---|---|
| LBN Legal business name | Boyd, Jon Wesley |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Feb 2nd, 2012 - about 12 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 | 1932140258 | NPPES |
| Massachusetts | MEDICAID | 3141829 |
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