Provider Demographics
NPI:1750433702
Name:BOYDEN, JOHN DAVID II (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DAVID
Last Name:BOYDEN
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 S RIVER RD
Mailing Address - Street 2:SUITE 34
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6719
Mailing Address - Country:US
Mailing Address - Phone:603-626-1333
Mailing Address - Fax:603-606-6249
Practice Address - Street 1:40 S RIVER RD
Practice Address - Street 2:SUITE 34
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6719
Practice Address - Country:US
Practice Address - Phone:603-626-1333
Practice Address - Fax:603-606-6249
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH142-1093111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE3101Medicare ID - Type Unspecified
NHU49808Medicare UPIN