Provider Demographics
NPI:1003808478
Name:BOYLE, JOSEPH HUGH (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:HUGH
Last Name:BOYLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 CLAREMONT ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-3585
Mailing Address - Country:US
Mailing Address - Phone:406-758-5155
Mailing Address - Fax:
Practice Address - Street 1:75 CLAREMONT ST
Practice Address - Street 2:SUITE C
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3585
Practice Address - Country:US
Practice Address - Phone:406-758-5155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2003009372084P0800X
MT259362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5901750Medicaid
NC139A1OtherBCBS OF NC
15-00365OtherEVERCARE
NC5901750Medicaid
I05020Medicare UPIN
P00237407Medicare PIN