Boon, Sheryl J

Boon, Sheryl J is an individual health care provider with primary practice located at 311 S L St , Tacoma WA 98405-3720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rheumatology, which is considered as her primary health care specialty. Boon, Sheryl J can be contacted via phone (253) 403-1420.

Contact Information

Primary practice address
311 S L St Tacoma WA 98405-3720
Phone: (253) 403-1420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X A61747 California
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X MD2014-0891 New Mexico
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X MD60628779 Washington

Profile Details

NPI number 1174613244
LBN Legal business name Boon, Sheryl J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated May 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174613244 NPPES
California MEDICAID 00A617470

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