Boone, William W.

Boone, William W. is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Boone, William W. can be contacted via phone (601) 264-6000.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 264-6000
Fax: (601) 268-5813
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101251611 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 22509 Mississippi

Profile Details

NPI number 1972784999
LBN Legal business name Boone, William W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2007
Last updated Aug 23rd, 2016 - about 9 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 1972784999 NPPES
Mississippi Other 3478166 UNITED HEALTHCARE
Mississippi Other 9792869 UNITED HEALTHCARE
Mississippi MEDICAID 08131549 UNITED HEALTHCARE
Mississippi Other 9109217 UNITED HEALTHCARE
Mississippi Other 6116065 UNITED HEALTHCARE

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