Boone, Brian

Boone, Brian is an individual health care provider with primary practice located at 15 Exchange Dr , Lugoff SC 29078-9198. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Boone, Brian can be contacted via phone (803) 408-3277.

Contact Information

Primary practice address
15 Exchange Dr Lugoff SC 29078-9198
Phone: (803) 408-3277
Fax: (803) 408-3299
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X TRN#14893 Florida
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 2014-02050 North Carolina

Profile Details

NPI number 1821309683
LBN Legal business name Boone, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2010
Last updated May 26th, 2020 - about 5 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 1821309683 NPPES
South Carolina MEDICAID 405458

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