Individual
DAN J BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CLINICAL SOCIAL WORK
Contact information
Practice address
3203 MIDDLE RD, COLUMBUS, IN 47203-4427
(812) 373-2700
(812) 373-2710
Mailing address
3203 MIDDLE RD, COLUMBUS, IN 47203-4427
(812) 373-2700
(812) 373-2710
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
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