Boyd, Wayne Rodney

Boyd, Wayne Rodney is an individual health care provider with primary practice located at 399 E 21St St , San Bernardino CA 92404-4815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Boyd, Wayne Rodney can be contacted via phone (909) 882-2266.

Contact Information

Primary practice address
399 E 21St St San Bernardino CA 92404-4815
Phone: (909) 882-2266
Fax: (909) 881-7593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A21591 California

Profile Details

NPI number 1871591727
LBN Legal business name Boyd, Wayne Rodney
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jan 15th, 2018 - about 6 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 1871591727 NPPES
California MEDICAID 00A21591

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