Boone, Michael David
Boone, Michael David is an sole proprietor health care provider with primary practice located at 8201 Ne 139Th St , Edmond OK 73013-8705. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Boone, Michael David can be contacted via phone (405) 396-2119.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT713 | Oklahoma |
Profile Details
| NPI number | 1679762496 |
|---|---|
| LBN Legal business name | Boone, Michael David |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2007 |
| Last updated | Oct 17th, 2007 - about 17 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 | 1679762496 | NPPES |
| Oklahoma | Other | OT713 | OK LICENSE BOARD |
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