Boone, John Luther

Boone, John Luther is an individual health care provider with primary practice located at 14020 Hwy 13 S Ste 350 , Savage MN 55378-7103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Boone, John Luther can be contacted via phone (952) 395-2500.

Contact Information

Primary practice address
14020 Hwy 13 S Ste 350 Savage MN 55378-7103
Phone: (952) 395-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 56270 Minnesota

Profile Details

NPI number 1609035781
LBN Legal business name Boone, John Luther
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2008
Last updated Nov 17th, 2022 - about 3 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 1609035781 NPPES
Minnesota MEDICAID 1609035781

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