Boone, Joseph Matthew

Boone, Joseph Matthew is an individual health care provider with primary practice located at 1199 Main St , Fairfax VT 05454-9530. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Boone, Joseph Matthew can be contacted via phone (802) 849-2844.

Contact Information

Primary practice address
1199 Main St Fairfax VT 05454-9530
Phone: (802) 849-2844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 101.0093988 Vermont

Profile Details

NPI number 1114260015
LBN Legal business name Boone, Joseph Matthew
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2013
Last updated Apr 29th, 2014 - about 11 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 1114260015 NPPES
Vermont MEDICAID 1021645

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