Boyett, Jeffrey S

Boyett, Jeffrey S is an individual health care provider with primary practice located at 3931 Stockton Hill Rd Suite C, Kingman AZ 86409-2426. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Boyett, Jeffrey S can be contacted via phone (928) 681-6100.

Contact Information

Primary practice address
3931 Stockton Hill Rd Suite C Kingman AZ 86409-2426
Fax: (928) 681-6103
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2139 Arizona

Profile Details

NPI number 1760408405
LBN Legal business name Boyett, Jeffrey S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Dec 15th, 2009 - about 16 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 1760408405 NPPES
Arizona MEDICAID 568545

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