Nathan, Boomi
Nathan, Boomi is an individual health care provider with primary practice located at 8366 Trondheim Dr , Cordova TN 38018-4376. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nathan, Boomi can be contacted via phone (901) 428-0694.Contact Information
Primary practice address
8366 Trondheim Dr
Cordova TN 38018-4376
Phone: (901) 428-0694
Fax: (901) 755-0559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-5585 | Arkansas |
Profile Details
| NPI number | 1063540615 |
|---|---|
| LBN Legal business name | Nathan, Boomi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Feb 17th, 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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