Pride-Boone, Janice
Pride-Boone, Janice is an individual health care provider with primary practice located at 777 North Street Suite 305, Pittsfield MA 01201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pride-Boone, Janice can be contacted via phone (413) 499-8531.Contact Information
Primary practice address
777 North Street Suite 305
Pittsfield MA 01201
Phone: (413) 499-8531
Fax: (413) 499-8560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD 40684 | Tennessee |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD 62966 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD 1582941 | New York |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | LA MD 13859R | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD 11342 | Nevada |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G151811 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 281853 | Massachusetts |
Profile Details
| NPI number | 1487865978 |
|---|---|
| LBN Legal business name | Pride-Boone, Janice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Mar 11th, 2020 - about 6 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 | 1487865978 | NPPES |
| Massachusetts | MEDICAID | 281853 | |
| Massachusetts | MEDICAID | 1436585 |
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