Boone, Elwood Bernard
Boone, Elwood Bernard is an sole proprietor health care provider with primary practice located at 110 N Robinson St Suite 403, Richmond VA 23220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Boone, Elwood Bernard can be contacted via phone (804) 354-6202.Contact Information
Primary practice address
110 N Robinson St Suite 403
Richmond VA 23220
Phone: (804) 354-6202
Fax: (804) 354-0870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 0101020738 | Virginia |
Profile Details
| NPI number | 1629034822 |
|---|---|
| LBN Legal business name | Boone, Elwood Bernard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Aug 18th, 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 | 1629034822 | NPPES |
| Virginia | MEDICAID | 1629034822 | |
| Virginia | MEDICAID | 7556870 |
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