Boccone, Clark E
Boccone, Clark E is an individual health care provider with primary practice located at 112 Hospital Ln Suite 200, Danville IN 46122-1977. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Boccone, Clark E can be contacted via phone (317) 745-3366.Contact Information
Primary practice address
112 Hospital Ln Suite 200
Danville IN 46122-1977
Phone: (317) 745-3366
Fax: (317) 745-8528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 1063890A | Indiana |
Profile Details
| NPI number | 1285832287 |
|---|---|
| LBN Legal business name | Boccone, Clark E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2007 |
| Last updated | Mar 29th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285832287 | NPPES |
| Indiana | MEDICAID | 200870720 |
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