Provider Demographics
NPI:1225020373
Name:BOYCE, THOMAS W (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:W
Last Name:BOYCE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-4720
Mailing Address - Country:US
Mailing Address - Phone:330-823-3020
Mailing Address - Fax:330-823-9075
Practice Address - Street 1:512 W STATE ST
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4720
Practice Address - Country:US
Practice Address - Phone:330-823-3020
Practice Address - Fax:330-823-9075
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH831111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0497556Medicaid
OH0497556Medicaid
OHBO0528181Medicare ID - Type Unspecified