Boone, Carolyn Jean
Boone, Carolyn Jean is an sole proprietor health care provider with primary practice located at 505 W Leigh St 102, Richmond VA 23220-3200. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Boone, Carolyn Jean can be contacted via phone (804) 783-8788.Contact Information
Primary practice address
505 W Leigh St 102
Richmond VA 23220-3200
Phone: (804) 783-8788
Fax: (804) 253-0204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101038253 | Virginia |
Profile Details
| NPI number | 1417928870 |
|---|---|
| LBN Legal business name | Boone, Carolyn Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Jul 13th, 2024 - about 2 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 | 1417928870 | NPPES |
| Virginia | MEDICAID | 006799329 |
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