Provider Demographics
NPI:1679730964
Name:BOYKO, MICHAEL KRISTOPHER (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:KRISTOPHER
Last Name:BOYKO
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 1:96 FEDERAL ST
Mailing Address - Street 2:
Mailing Address - City:BLACKSTONE
Mailing Address - State:MA
Mailing Address - Zip Code:01504-1376
Mailing Address - Country:US
Mailing Address - Phone:562-682-4541
Mailing Address - Fax:
Practice Address - Street 1:1751 BEACON ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-5349
Practice Address - Country:US
Practice Address - Phone:562-682-4541
Practice Address - Fax:617-232-7855
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2008-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3201111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0007700Medicare PIN