Penny Boyd
Individual provider Active NPI Contractor · Bethel, OH
NPI 1972059608 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1972059608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 12781 St RT 774
Bethel, OH 45106 - Phone
- (513) 532-7355
- NPI assigned
- Sep 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
12781 St RT 774
Bethel, OH 45106
Mailing address
12781 St RT 774
Bethel, OH 45106
Phone (513) 532-7355
Other providers in Bethel, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.