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Contact Information

NATHANAEL K BOONE, PA-C
2087 ACORN BLVD
FRANKLIN, IN46131-7306
 Phone: 317-738-8095
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for NATHANAEL K BOONE · (Male)

NPI Number 1952178295
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/06/2023
Last updated 05/16/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 10004369A
  • IN Medicaid 300090407
  • IN Medicaid 3000940407
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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