Boone, Gregory

Boone, Gregory is an individual health care provider with primary practice located at 1330 Mercy Dr Nw Suite 319, Canton OH 44708-2626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Boone, Gregory can be contacted via phone (330) 580-4706.

Contact Information

Primary practice address
1330 Mercy Dr Nw Suite 319 Canton OH 44708-2626
Phone: (330) 580-4706
Fax: (330) 580-4707
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35052710 Ohio

Profile Details

NPI number 1407854516
LBN Legal business name Boone, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Feb 1st, 2010 - about 14 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 1407854516 NPPES
Ohio Other 1700048 UNITED HEALTHCARE
Ohio Other 000000600139 UNITED HEALTHCARE
Ohio MEDICAID 0776665 UNITED HEALTHCARE
Ohio Other 67552 UNITED HEALTHCARE
Ohio Other 2157366 UNITED HEALTHCARE
Ohio Other 9303389 UNITED HEALTHCARE

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