1336229632 NPI number — JAMES E BOONE MD PLLC

Table of content: (NPI 1336229632)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336229632 NPI number — JAMES E BOONE MD PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JAMES E BOONE MD PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
JAMES E BOONE MD
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336229632
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5575 POPLAR AVE
Provider Second Line Business Mailing Address:
STE 504
Provider Business Mailing Address City Name:
MEMPHIS
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38119
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
901-761-1850
Provider Business Mailing Address Fax Number:
901-761-1822

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5575 POPLAR AVE
Provider Second Line Business Practice Location Address:
STE 504
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-761-1850
Provider Business Practice Location Address Fax Number:
901-761-1822
Provider Enumeration Date:
10/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BOONE
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
EARLE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
901-761-1850

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3175345 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".




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