Boykin, Michele A
Boykin, Michele A is an individual health care provider with primary practice located at 3549 Southern Hills Dr , Sioux City IA 51106-4736. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boykin, Michele A can be contacted via phone (712) 274-6729.Contact Information
Primary practice address
3549 Southern Hills Dr
Sioux City IA 51106-4736
Phone: (712) 274-6729
Fax: (712) 274-6744
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 01861 | Iowa |
Profile Details
NPI number | 1679533202 |
---|---|
LBN Legal business name | Boykin, Michele A |
Credentials | LISW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1679533202 | NPPES |
Iowa | MEDICAID | 0205807 |
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