Boon, Staci Anne
Boon, Staci Anne is an individual health care provider with primary practice located at 909 E San Marnan Dr , Waterloo IA 50702-5611. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Boon, Staci Anne can be contacted via phone (319) 233-2020.Contact Information
Primary practice address
909 E San Marnan Dr
Waterloo IA 50702-5611
Phone: (319) 233-2020
Fax: (319) 234-1939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 072761 | Iowa |
Profile Details
| NPI number | 1013261510 |
|---|---|
| LBN Legal business name | Boon, Staci Anne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2012 |
| Last updated | Mar 10th, 2022 - about 2 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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