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Contact Information

DANE BOYACK, DO
9100 W 74TH ST
MERRIAM, KS66204-4004
 Phone: 913-676-2214
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for DANE BOYACK · (Male)

NPI # 1649682303
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/28/2014
Last updated 02/08/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 05-39854
Hospital affiliation(s)
  • RANSOM MEMORIAL HOSPITAL - (Acute Care)
    1301 S MAIN STREET
    OTTAWA, KS 66067
  • SHAWNEE MISSION MEDICAL CENTER - (Acute Care)
    9100 W 74TH STREET
    SHAWNEE MISSION, KS 66204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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