Booher, Katelyn Jean
Booher, Katelyn Jean is an individual health care provider with primary practice located at 1222 S Patterson Blvd Ste 220, Dayton OH 45402-2684. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Booher, Katelyn Jean can be contacted via phone (937) 223-5350.Contact Information
Primary practice address
1222 S Patterson Blvd Ste 220
Dayton OH 45402-2684
Phone: (937) 223-5350
Fax: (937) 224-3112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 35-011518 | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-011518 | Ohio |
Profile Details
| NPI number | 1063736056 |
|---|---|
| LBN Legal business name | Booher, Katelyn Jean |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2010 |
| Last updated | Jun 29th, 2015 - about 9 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 | 1063736056 | NPPES |
| Ohio | MEDICAID | 0121909 |
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