Boyle, Stephanie D

Boyle, Stephanie D is an individual health care provider with primary practice located at 1 Veterans Dr , Minneapolis MN 55417-2309. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Boyle, Stephanie D can be contacted via phone (612) 629-7625.

Contact Information

Primary practice address
1 Veterans Dr Minneapolis MN 55417-2309
Phone: (612) 629-7625
Fax: (612) 629-7280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 30890 Minnesota

Profile Details

NPI number 1215914411
LBN Legal business name Boyle, Stephanie D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Apr 11th, 2013 - about 11 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 1215914411 NPPES
Minnesota MEDICAID 534505700

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