Provider Demographics
NPI:1013896794
Name:BOYLES, JOHN II
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:BOYLES
Suffix:II
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 1:2516 21ST AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-6861
Mailing Address - Country:US
Mailing Address - Phone:681-264-2175
Mailing Address - Fax:
Practice Address - Street 1:415 36TH ST STE 200
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-1005
Practice Address - Country:US
Practice Address - Phone:304-295-0890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant