Boyle, Jennifer Renaud

Boyle, Jennifer Renaud is an individual health care provider with primary practice located at 1000 E 1St St Ste Ll, Duluth MN 55805-2297. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Boyle, Jennifer Renaud can be contacted via phone (218) 722-5629.

Contact Information

Primary practice address
1000 E 1St St Ste Ll Duluth MN 55805-2297
Phone: (218) 722-5629
Fax: (218) 722-5148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 43560 Minnesota
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 43560 Minnesota

Profile Details

NPI number 1073582375
LBN Legal business name Boyle, Jennifer Renaud
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Feb 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073582375 NPPES
Wisconsin MEDICAID 34705600
Wisconsin MEDICAID 191633500

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