Booden, Jack

Booden, Jack is an individual health care provider with primary practice located at 2418 Granby St , Norfolk VA 23517-1422. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Booden, Jack can be contacted via phone (757) 627-4191.

Contact Information

Primary practice address
2418 Granby St Norfolk VA 23517-1422
Phone: (757) 627-4191
Fax: (757) 627-8709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X CPO 00503
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X CPO 00503

Profile Details

NPI number 1841319415
LBN Legal business name Booden, Jack
Credentials C.P.O.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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