Boone, Daniel E
Boone, Daniel E is an sole proprietor health care provider with primary practice located at 107 Village Center St , Nixa MO 65714-7824. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is his primary health care specialty. Boone, Daniel E can be contacted via phone (417) 725-0000.Contact Information
Primary practice address
107 Village Center St
Nixa MO 65714-7824
Phone: (417) 725-0000
Fax: (417) 725-0002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T03007 | Missouri |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | T03007 | Missouri |
Profile Details
| NPI number | 1679521603 |
|---|---|
| LBN Legal business name | Boone, Daniel E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | May 27th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679521603 | NPPES |
| Missouri | Other | 410026504 | RAILROAD MEDICARE |
| Missouri | MEDICAID | 313422701 | RAILROAD MEDICARE |
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