Boone, Rubea Angenita

Boone, Rubea Angenita is an individual health care provider with primary practice located at 1046 E Wendover Ave , Greensboro NC 27405-6712. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boone, Rubea Angenita can be contacted via phone (336) 272-1050.

Contact Information

Primary practice address
1046 E Wendover Ave Greensboro NC 27405-6712
Phone: (336) 272-1050
Fax: (336) 272-1110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C002079 North Carolina

Profile Details

NPI number 1578569877
LBN Legal business name Boone, Rubea Angenita
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578569877 NPPES
North Carolina MEDICAID 6002905
North Carolina MEDICAID 6002901
North Carolina MEDICAID 6002903

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