Boylan, Mary J
Boylan, Mary J is an individual health care provider with primary practice located at 920 E 1St St Ste 303, Duluth MN 55805-2201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Boylan, Mary J can be contacted via phone (218) 249-6050.Contact Information
Primary practice address
920 E 1St St Ste 303
Duluth MN 55805-2201
Phone: (218) 249-6050
Fax: (218) 249-6055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 38670 | Minnesota |
Profile Details
| NPI number | 1851343131 |
|---|---|
| LBN Legal business name | Boylan, Mary J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Feb 3rd, 2017 - about 8 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 | 1851343131 | NPPES |
| Minnesota | MEDICAID | 201716400 |
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