Boone, Nellie Lucille

Boone, Nellie Lucille is an individual health care provider with primary practice located at 500 E Webster Ave , Chewelah WA 99109-9523. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Boone, Nellie Lucille can be contacted via phone (509) 935-8211.

Contact Information

Primary practice address
500 E Webster Ave Chewelah WA 99109-9523
Phone: (509) 935-8211
Fax: (509) 935-5257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X TA10005278 Washington

Profile Details

NPI number 1134317803
LBN Legal business name Boone, Nellie Lucille
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Jun 3rd, 2016 - about 9 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 1134317803 NPPES
Washington Other P00450010 RAIL ROAD MEDICARE

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