Boyle, Dawn M
Boyle, Dawn M is an sole proprietor health care provider with primary practice located at 1000 E Washington St , Medina OH 44256-2170. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boyle, Dawn M can be contacted via phone (330) 725-1000.Contact Information
Primary practice address
1000 E Washington St
Medina OH 44256-2170
Phone: (330) 725-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 14988NP | Ohio |
Profile Details
| NPI number | 1477983880 |
|---|---|
| LBN Legal business name | Boyle, Dawn M |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2013 |
| Last updated | Nov 29th, 2017 - about 7 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 | 1477983880 | NPPES |
| Ohio | Other | 12626391 | CAQH |
| Ohio | MEDICAID | 0094497 | CAQH |
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