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NPI Code Detail

MEDICARE: JOHN C AND MARIAN BOYE, PC

MEDICARE: JOHN C AND MARIAN BOYE, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1689854374
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN C AND MARIAN BOYE, PC
Provider Business Mailing Address
First Line : PO BOX 1157
Second Line :
City : BROOKINGS
State : OR
Zip : 97415-0030
Country : US
Telephone Number : 541-469-3446
Fax Number : 541-469-7012
Provider Business Practice Location Address
First Line : 97829 SHOPPING CENTER AVE
Second Line : STE E
City : BROOKINGS
State : OR
Zip : 97415-9135
Country : US
Telephone Number : 541-469-3446
Fax Number : 541-469-7012
Authorized Official
Title or Position : SECRETARY
Name : MARIAN L BOYE
Credential : DC
Telephone Number : 541-469-3446
Provider Enumeration Date : 11/09/2007
Last Update Date : 03/10/2008

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