MSP BOONE CLINIC PLLC NPI 1013782804

NPI Information

NPI: 1013782804
Provider Name: MSP BOONE CLINIC, PLLC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
200 HOSPITAL AVE FL 3
JEFFERSON, NC
ZIP 28640
Phone: (828) 265-9662
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MSP BOONE CLINIC, PLLC is a primary podiatric medicine podiatrist in Jefferson, NC. MSP BOONE CLINIC, PLLC NPI is 1013782804. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 HOSPITAL AVE FL 3
JEFFERSON, NC
ZIP 28640-244
Phone: (828) 265-9662
Fax: (828) 252-2272

The provider's authorized official is Jonathan D Tenley .
The authorized official title is Authorized Official and has the following contact phone number (828) 265-3668.

The enumeration date for this NPI number is 11/21/2023 and was last updated on 11/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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