Provider Demographics
NPI:1134204894
Name:BOYD LAWRENCE DEMCHYNA INC.
Entity type:Organization
Organization Name:BOYD LAWRENCE DEMCHYNA INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BOYD
Authorized Official - Middle Name:L
Authorized Official - Last Name:DEMCHYNA
Authorized Official - Suffix:
Authorized Official - Credentials:BCHIS ACA
Authorized Official - Phone:586-778-2887
Mailing Address - Street 1:26107 HARPER AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-2201
Mailing Address - Country:US
Mailing Address - Phone:586-778-2887
Mailing Address - Fax:586-778-6136
Practice Address - Street 1:26107 HARPER AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-2201
Practice Address - Country:US
Practice Address - Phone:586-778-2887
Practice Address - Fax:586-778-6136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment