Booher, Mark A.
Booher, Mark A. is an individual health care provider with primary practice located at 301 Satori Pkwy Suite 120, Avon IN 46123-6405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Booher, Mark A. can be contacted via phone (317) 718-4263.Contact Information
Primary practice address
301 Satori Pkwy Suite 120
Avon IN 46123-6405
Phone: (317) 718-4263
Fax: (317) 272-7855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 01057723A | Indiana |
Profile Details
| NPI number | 1447245527 |
|---|---|
| LBN Legal business name | Booher, Mark A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Mar 3rd, 2021 - about 4 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 | 1447245527 | NPPES |
| Indiana | MEDICAID | 200453300 |
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