Boone, Chantelle P

Boone, Chantelle P is an individual health care provider with primary practice located at 1011 N Galloway Ave # A2 , Mesquite TX 75149-2433. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boone, Chantelle P can be contacted via phone (214) 320-7000.

Contact Information

Primary practice address
1011 N Galloway Ave # A2 Mesquite TX 75149-2433
Fax: (580) 248-1725
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP125560 Texas

Profile Details

NPI number 1114127248
LBN Legal business name Boone, Chantelle P
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Feb 10th, 2023 - about last year

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 1114127248 NPPES
Oklahoma MEDICAID 200124110A

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