Individual provider · Type 1 NPI
Mathew James Boyle
Lodging Provider · Portage, MI
NPI number
1215197447
Active
Practice location
7921 Julie Dr
Portage, MI 49024-4921
Fax (269) 323-1780
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | AF390281086 (MI) |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1215197447
Mathew James Boyle's National Provider Identifier is 1215197447, issued on Jun 11, 2008. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Portage, MI. The record was last updated on Jun 11, 2008.