Boomer, Judith Alison
Boomer, Judith Alison is an individual health care provider with primary practice located at 4515 Marsha Sharp Fwy , Lubbock TX 79407-2520. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Boomer, Judith Alison can be contacted via phone (806) 744-7223.Contact Information
Primary practice address
4515 Marsha Sharp Fwy
Lubbock TX 79407-2520
Phone: (806) 744-7223
Fax: (806) 740-3325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA03356 | Texas |
Profile Details
| NPI number | 1912960733 |
|---|---|
| LBN Legal business name | Boomer, Judith Alison |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | May 10th, 2016 - about 9 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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