Boone, Martin Lewis

Boone, Martin Lewis is an individual health care provider with primary practice located at 9000 Coombs Farm Drive Suite 202, Morgantown WV 26508. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Boone, Martin Lewis can be contacted via phone (304) 554-0504.

Contact Information

Primary practice address
9000 Coombs Farm Drive Suite 202 Morgantown WV 26508
Phone: (304) 554-0504
Fax: (304) 554-0505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 616 West Virginia

Profile Details

NPI number 1538139902
LBN Legal business name Boone, Martin Lewis
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Apr 8th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538139902 NPPES
West Virginia Other 680012592 RAILROAD MEDICARE
West Virginia MEDICAID 9201023000 RAILROAD MEDICARE

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