Boyse, Tedric Dale

Boyse, Tedric Dale is an individual health care provider with primary practice located at 114 Wind Chime Ct , Raleigh NC 27615-6433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Boyse, Tedric Dale can be contacted via phone (919) 847-6431.

Contact Information

Primary practice address
114 Wind Chime Ct Raleigh NC 27615-6433
Phone: (919) 847-6431
Fax: (919) 847-7005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X North Carolina

Profile Details

NPI number 1225090772
LBN Legal business name Boyse, Tedric Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1225090772 NPPES
North Carolina MEDICAID 89136WM

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