Boon, Douglas Alan

Boon, Douglas Alan is an individual health care provider with primary practice located at 2444 W Faidley Ave , Grand Island NE 68803-4327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Boon, Douglas Alan can be contacted via phone (308) 382-1100.

Contact Information

Primary practice address
2444 W Faidley Ave Grand Island NE 68803-4327
Phone: (308) 382-1100
Fax: (308) 385-0796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19751 Nebraska

Profile Details

NPI number 1356341309
LBN Legal business name Boon, Douglas Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Nov 10th, 2023 - about 3 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 1356341309 NPPES
Nebraska Other 247 BCBS
Nebraska Other 6408 BCBS
Nebraska MEDICAID 47017633037 BCBS

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