Healthcare Provider Details

I. General information

NPI: 1467165209
Provider Name (Legal Business Name): ADAM BOYD DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2022
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 368
ARMADA MI
48005-0368
US

IV. Provider business mailing address

9208 SAINT CLAIR HWY
CASCO MI
48064-1223
US

V. Phone/Fax

Practice location:
  • Phone: 586-784-5470
  • Fax: 586-784-5471
Mailing address:
  • Phone: 586-256-5231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301401376
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: