Provider Demographics
NPI:1144827361
Name:DR. ROBERT BOYAT LTD.
Entity type:Organization
Organization Name:DR. ROBERT BOYAT LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELAPOINTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-935-2121
Mailing Address - Street 1:1919 MAINSTREET
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-7401
Mailing Address - Country:US
Mailing Address - Phone:952-935-2121
Mailing Address - Fax:952-935-2123
Practice Address - Street 1:1919 MAINSTREET
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-7401
Practice Address - Country:US
Practice Address - Phone:952-935-2121
Practice Address - Fax:952-935-2123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental