Boone, Gerald E
Boone, Gerald E is an individual health care provider with primary practice located at 301 S Roselawn , Artesia NM 88210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boone, Gerald E can be contacted via phone (575) 746-3616.Contact Information
Primary practice address
301 S Roselawn
Artesia NM 88210
Phone: (575) 746-3616
Fax: (575) 748-2544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | PA065 | New Mexico |
Profile Details
| NPI number | 1134212921 |
|---|---|
| LBN Legal business name | Boone, Gerald E |
| Credentials | PA CERTIFIED PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jan 25th, 2010 - about 15 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 | 1134212921 | NPPES |
| New Mexico | Other | NMEX PA 065 | NMEX PA 065 |
| New Mexico | MEDICAID | 72094 | NMEX PA 065 |
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