Allen, Boone

Allen, Boone is an individual health care provider with primary practice located at 527 Rigby Lake Dr Suite B, Rigby ID 83442-1271. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Allen, Boone can be contacted via phone (208) 745-8704.

Contact Information

Primary practice address
527 Rigby Lake Dr Suite B Rigby ID 83442-1271
Phone: (208) 745-8704
Fax: (208) 745-7052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D3820 Idaho

Profile Details

NPI number 1396857256
LBN Legal business name Allen, Boone
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396857256 NPPES
Idaho MEDICAID 806947300
Idaho Other 6K356

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