Boone, Richard B

Boone, Richard B is an individual health care provider with primary practice located at 800 Grand Central Mall Ste 11 , Vienna WV 26105-4100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boone, Richard B can be contacted via phone (304) 916-1270.

Contact Information

Primary practice address
800 Grand Central Mall Ste 11 Vienna WV 26105-4100
Fax: (304) 916-1705
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1835 West Virginia

Profile Details

NPI number 1023080215
LBN Legal business name Boone, Richard B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Dec 18th, 2013 - about 12 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 1023080215 NPPES
West Virginia MEDICAID 1807389000

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