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Contact Information

DONITA K BOAN, DO
1102 W 32ND ST
JOPLIN, MO64804-3503
 Phone: 417-347-1078
 Fax: 417-347-1079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for DONITA K BOAN · (Female)

NPI Number 1124067590
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/04/2006
Last updated 10/07/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2006013764
  • OK License # 4085
Hospital affiliation(s)
  • FREEMAN HEALTH SYSTEM - FREEMAN WEST - (Acute Care)
    1102 WEST 32ND STREET
    JOPLIN, MO 64804
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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