Individual
DAN J BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CLINICAL SOCIAL WORK
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003859A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000219051
BLUE CROSS ANTHEM
IN
01
—
000000984113
ANTHEM PIN
IN
01
—
080148475
RAILROAD MEDICARE PIN
—
01
—
1407861164
GROUP NPI
IN
01
—
34003859A
IN MEDICAL LICENSE
IN
Enumeration date
05/03/2006
Last updated
04/26/2016
Update your record
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