Boyer, Michael Wayne
Boyer, Michael Wayne is an individual health care provider with primary practice located at 100 N Medical Dr Bmt, Salt Lake City UT 84113-1103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Boyer, Michael Wayne can be contacted via phone (801) 585-3229.Contact Information
Primary practice address
100 N Medical Dr Bmt
Salt Lake City UT 84113-1103
Phone: (801) 585-3229
Fax: (801) 585-3432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 6150957-1205 | Utah |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 6150957-1205 | Utah |
Profile Details
| NPI number | 1598763112 |
|---|---|
| LBN Legal business name | Boyer, Michael Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jan 31st, 2013 - 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 | 1598763112 | NPPES |
| Wyoming | MEDICAID | 123768300 | |
| Wyoming | MEDICAID | 2162341 | |
| Wyoming | MEDICAID | 64006950 | |
| Wyoming | MEDICAID | 0157063 | |
| Wyoming | MEDICAID | 100510358 | |
| Wyoming | MEDICAID | 0157053 | |
| Wyoming | MEDICAID | D6692 | |
| Wyoming | MEDICAID | 807569000 |
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