Provider Demographics
NPI:1942306451
Name:BOYER, ROBERT BOOTHE (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BOOTHE
Last Name:BOYER
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 1:772 W WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-5100
Mailing Address - Country:US
Mailing Address - Phone:919-624-4643
Mailing Address - Fax:919-234-9296
Practice Address - Street 1:772 W WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-5100
Practice Address - Country:US
Practice Address - Phone:919-249-6461
Practice Address - Fax:919-267-3864
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2355111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor