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Contact Information

GERALD E BOONE, PA CERTIFIED PAC
301 S ROSELAWN
ARTESIA, NM88210
 Phone: 575-746-3616
 Fax: 575-748-2544
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GERALD E BOONE · (Male)

NPI Number 1134212921
Status Active
Credentials PA CERTIFIED PAC
Entity Individual
Enumeration date 10/02/2006
Last updated 01/25/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NM License # PA065
  • NM Medicaid 72094
  • NM Other NMEX PA 065 NMEX PA 065
Hospital affiliation(s) Not Available
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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