Boone, Carly Jay

Boone, Carly Jay is an individual health care provider with primary practice located at 2460 N Ih 35 E Ste 100 , Waxahachie TX 75165-5267. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Boone, Carly Jay can be contacted via phone (469) 800-9500.

Contact Information

Primary practice address
2460 N Ih 35 E Ste 100 Waxahachie TX 75165-5267
Phone: (469) 800-9500
Fax: (469) 800-9540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA05842 Texas

Profile Details

NPI number 1801052030
LBN Legal business name Boone, Carly Jay
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2008
Last updated Feb 19th, 2024 - about 10 months 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 1801052030 NPPES
Texas Other PA05842 PHYSCICIAN ASSISTANT LICENSE
Texas Other 1082631 PHYSCICIAN ASSISTANT LICENSE

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