Boone, Edgar Alan

Boone, Edgar Alan is an individual health care provider with primary practice located at 200 West Hospital Drive , Whiteriver AZ 85941-0860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boone, Edgar Alan can be contacted via phone (928) 338-4911.

Contact Information

Primary practice address
200 West Hospital Drive Whiteriver AZ 85941-0860
Phone: (928) 338-4911
Fax: (928) 338-5508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD027914E Pennsylvania

Profile Details

NPI number 1568461002
LBN Legal business name Boone, Edgar Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Apr 3rd, 2012 - about 13 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 1568461002 NPPES
Pennsylvania Other 104152 UPMC HEALTH PLAN
Pennsylvania Other 1427335181 UPMC HEALTH PLAN
Pennsylvania MEDICAID 0010968930002 UPMC HEALTH PLAN
Pennsylvania Other 0473267 UPMC HEALTH PLAN
Pennsylvania Other 010028191 UPMC HEALTH PLAN
Pennsylvania Other 000067334 UPMC HEALTH PLAN
Pennsylvania Other 1427335140 UPMC HEALTH PLAN
Pennsylvania Other 1409575 UPMC HEALTH PLAN

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