Individual
ASHLEY BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 GORDON GUTMANN BLVD STE 401, JEFFERSONVILLE, IN 47130-3768
(812) 282-0637
(812) 283-6330
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002059A
IN
363A00000X
Physician Assistant
50.004170
OH
363A00000X
Physician Assistant
TC225
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112322
—
OH
01
—
10002059A
STATE LICENSE
IN
05
—
300013731
—
IN
05
—
7100448950
—
KY
01
—
H410210
MEDICARE PTAN
OH
Enumeration date
10/10/2014
Last updated
02/26/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us