Boone, Joshua Johnson

Boone, Joshua Johnson is an individual health care provider with primary practice located at 1514 K-96 Highway , Great Bend KS 67530. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Boone, Joshua Johnson can be contacted via phone (620) 792-4383.

Contact Information

Primary practice address
1514 K-96 Highway Great Bend KS 67530
Phone: (620) 792-4383
Fax: (620) 792-2058
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 12-00428 Kansas

Profile Details

NPI number 1598907537
LBN Legal business name Boone, Joshua Johnson
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2009
Last updated Dec 22nd, 2023 - about last year

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 1598907537 NPPES
Kansas MEDICAID 201143070A
Kansas MEDICAID 218103

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