Boone, Terry W

Boone, Terry W is an individual health care provider with primary practice located at 141 Hospital Dr , Salem KY 42078-8043. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Boone, Terry W can be contacted via phone (270) 988-3298.

Contact Information

Primary practice address
141 Hospital Dr Salem KY 42078-8043
Fax: (270) 988-4642
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1128 Kentucky

Profile Details

NPI number 1649430778
LBN Legal business name Boone, Terry W
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2008
Last updated Nov 9th, 2009 - about 15 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 1649430778 NPPES
Kentucky MEDICAID 7100064700

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