Allen, Boone
Allen, Boone is an individual health care provider with primary practice located at 527 Rigby Lake Dr Suite B, Rigby ID 83442-1271. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Allen, Boone can be contacted via phone (208) 745-8704.Contact Information
Primary practice address
527 Rigby Lake Dr Suite B
Rigby ID 83442-1271
Phone: (208) 745-8704
Fax: (208) 745-7052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D3820 | Idaho |
Profile Details
| NPI number | 1396857256 |
|---|---|
| LBN Legal business name | Allen, Boone |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396857256 | NPPES |
| Idaho | MEDICAID | 806947300 | |
| Idaho | Other | 6K356 |
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