Provider Demographics
NPI:1750351086
Name:BOYTS, EDWARD W (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:W
Last Name:BOYTS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:68370 CLINTON STREET
Mailing Address - Street 2:POST OFFICE BOX 48
Mailing Address - City:NEW PARIS
Mailing Address - State:IN
Mailing Address - Zip Code:46553
Mailing Address - Country:US
Mailing Address - Phone:574-831-5440
Mailing Address - Fax:574-831-6922
Practice Address - Street 1:68370 CLINTON STREET
Practice Address - Street 2:POST OFFICE BOX 48
Practice Address - City:NEW PARIS
Practice Address - State:IN
Practice Address - Zip Code:46553
Practice Address - Country:US
Practice Address - Phone:574-831-5440
Practice Address - Fax:574-831-6922
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2024-03-18
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Provider Licenses
StateLicense IDTaxonomies
IN01036932A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100086430Medicaid
D94686Medicare UPIN
IN184520NMedicare ID - Type Unspecified