Boyle, Brian Joseph

Boyle, Brian Joseph is an individual health care provider with primary practice located at 128 Speedway Dr , Mooresville NC 28117-6879. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Boyle, Brian Joseph can be contacted via phone (704) 768-1013.

Contact Information

Primary practice address
128 Speedway Dr Mooresville NC 28117-6879
Phone: (704) 768-1013
Fax: (704) 264-0711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8975 North Carolina

Profile Details

NPI number 1629078159
LBN Legal business name Boyle, Brian Joseph
Credentials PT,DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Oct 8th, 2012 - about 13 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 1629078159 NPPES
North Carolina Other 7559538 AETNA PPO
North Carolina Other D3291 AETNA PPO
North Carolina Other 3484600 AETNA PPO
North Carolina Other 078V2 AETNA PPO
North Carolina MEDICAID 7211587 AETNA PPO

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