Boone, Clinton

Boone, Clinton is an individual health care provider with primary practice located at 1704 Eastland Dr Ste 15 , Bloomington IL 61704-3580. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Boone, Clinton can be contacted via phone (309) 664-7766.

Contact Information

Primary practice address
1704 Eastland Dr Ste 15 Bloomington IL 61704-3580
Phone: (309) 664-7766
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070.022406 Illinois

Profile Details

NPI number 1528513769
LBN Legal business name Boone, Clinton
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2016
Last updated Jul 21st, 2022 - 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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