Provider Demographics
NPI:1538195474
Name:BOYDEN, DAVID (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:BOYDEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 NEWBURY ST
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01013-2819
Mailing Address - Country:US
Mailing Address - Phone:413-594-1949
Mailing Address - Fax:
Practice Address - Street 1:330 WALNUT STREET EXT
Practice Address - Street 2:
Practice Address - City:AGAWAM
Practice Address - State:MA
Practice Address - Zip Code:01001-1524
Practice Address - Country:US
Practice Address - Phone:413-821-9600
Practice Address - Fax:413-821-9607
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1858111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36316Medicare ID - Type Unspecified