Boytim, Mark J

Boytim, Mark J is an individual health care provider with primary practice located at 701 Savannah Rd Suite B, Lewes DE 19958-1550. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Boytim, Mark J can be contacted via phone (302) 645-2805.

Contact Information

Primary practice address
701 Savannah Rd Suite B Lewes DE 19958-1550
Phone: (302) 645-2805
Fax: (302) 645-1164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C1-0003326 Delaware

Profile Details

NPI number 1104857697
LBN Legal business name Boytim, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 9th, 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 1104857697 NPPES
Delaware MEDICAID 0000089201

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