Boone, David Wesley
Boone, David Wesley is an individual health care provider with primary practice located at 856 1St St , Macon GA 31201-6875. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Boone, David Wesley can be contacted via phone (478) 741-1740.Contact Information
Primary practice address
856 1St St
Macon GA 31201-6875
Phone: (478) 741-1740
Fax: (478) 745-2887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 3936 | Oklahoma |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 043122 | Connecticut |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 02003130A | Indiana |
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | 73540 | Georgia |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 73540 | Georgia |
Profile Details
| NPI number | 1093798753 |
|---|---|
| LBN Legal business name | Boone, David Wesley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 26th, 2005 |
| Last updated | Jan 28th, 2019 - about 6 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 | 1093798753 | NPPES |
| Other | 000000495130 | ANTHEM | |
| MEDICAID | 200838980 | ANTHEM |
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