Boyd, Theresa

Boyd, Theresa is an individual health care provider with primary practice located at 23250 Chagrin Blvd Suite #130, Beachwood OH 44122-5470. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Boyd, Theresa can be contacted via phone (216) 514-0100.

Contact Information

Primary practice address
23250 Chagrin Blvd Suite #130 Beachwood OH 44122-5470
Fax: (216) 514-0171
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35062722 Ohio

Profile Details

NPI number 1366443517
LBN Legal business name Boyd, Theresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jun 9th, 2016 - about 9 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 1366443517 NPPES
Ohio MEDICAID 0894644

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