Boyer, Gary Allen
Boyer, Gary Allen is an individual health care provider with primary practice located at 2100 W Iowa Ave , Chickasha OK 73018-2736. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Boyer, Gary Allen can be contacted via phone (405) 224-2100.Contact Information
Primary practice address
2100 W Iowa Ave
Chickasha OK 73018-2736
Phone: (405) 224-2100
Fax: (405) 779-2310
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 2257 | Oklahoma |
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 2257 | Oklahoma |
Profile Details
NPI number | 1982763249 |
---|---|
LBN Legal business name | Boyer, Gary Allen |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 6th, 2006 |
Last updated | Mar 17th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982763249 | NPPES |
Oklahoma | MEDICAID | 100100940A | |
Oklahoma | Other | P00854127 |
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