Boots, Carrie Jean
Boots, Carrie Jean is an individual health care provider with primary practice located at 7910 W Jefferson Blvd Ste 108 , Fort Wayne IN 46804-4159. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Boots, Carrie Jean can be contacted via phone (260) 484-8830.Contact Information
Primary practice address
7910 W Jefferson Blvd Ste 108
Fort Wayne IN 46804-4159
Phone: (260) 484-8830
Fax: (260) 483-1911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71002416A | Indiana |
Profile Details
| NPI number | 1003012352 |
|---|---|
| LBN Legal business name | Boots, Carrie Jean |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2007 |
| Last updated | Jul 23rd, 2020 - about 4 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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