Booher, David T
Booher, David T is an individual health care provider with primary practice located at 4801 Ambassador Caffery Pkwy , Lafayette LA 70508-6917. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Booher, David T can be contacted via phone (337) 470-2195.Contact Information
Primary practice address
4801 Ambassador Caffery Pkwy
Lafayette LA 70508-6917
Phone: (337) 470-2195
Fax: (337) 470-4590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 12392R | Louisiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD.12392R | Louisiana |
Profile Details
| NPI number | 1346250511 |
|---|---|
| LBN Legal business name | Booher, David T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jan 18th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346250511 | NPPES |
| Louisiana | MEDICAID | 1489140 | |
| Louisiana | Other | 5CJ96 |
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