Boone, Shelley K

Boone, Shelley K is an sole proprietor health care provider with primary practice located at 1643 W Lane Ave , Columbus OH 43221-3339. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Boone, Shelley K can be contacted via phone (614) 775-1503.

Contact Information

Primary practice address
1643 W Lane Ave Columbus OH 43221-3339
Phone: (614) 775-1503
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 35.088642 Ohio
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X D71035 Maryland
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 35.088642 Ohio

Profile Details

NPI number 1942422274
LBN Legal business name Boone, Shelley K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
Last updated Nov 15th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942422274 NPPES
Maryland MEDICAID 540041400
Maryland MEDICAID 2763531

Popular Providers