Provider Demographics
NPI:1184109795
Name:BOYLE, DAN ERIN
Entity type:Individual
Prefix:
First Name:DAN
Middle Name:ERIN
Last Name:BOYLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 ORCHARDVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-5841
Mailing Address - Country:US
Mailing Address - Phone:440-623-1279
Mailing Address - Fax:866-450-6446
Practice Address - Street 1:440 ORCHARDVIEW RD
Practice Address - Street 2:
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131-5841
Practice Address - Country:US
Practice Address - Phone:440-623-1279
Practice Address - Fax:866-450-6446
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide