Booher, Joanna Marie
Booher, Joanna Marie is an sole proprietor health care provider with primary practice located at 1825 W Knudsen Dr Ste 220A , Phoenix AZ 85027-1377. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Booher, Joanna Marie can be contacted via phone (623) 299-8799.Contact Information
Primary practice address
1825 W Knudsen Dr Ste 220A
Phoenix AZ 85027-1377
Phone: (623) 299-8799
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | H | |
| Dental Providers / Dental Hygienist | 124Q00000X | H05418 | Arizona |
Profile Details
| NPI number | 1962976092 |
|---|---|
| LBN Legal business name | Booher, Joanna Marie |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2019 |
| Last updated | Jan 11th, 2019 - about 6 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 | 1962976092 | NPPES |
| Other | 01 | GOTO SLEEP |
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