Booker, Corenthian Jerome

Booker, Corenthian Jerome is an individual health care provider with primary practice located at 9440 E Ironwood Square Dr , Scottsdale AZ 85258-4569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Booker, Corenthian Jerome can be contacted via phone (480) 756-6000.

Contact Information

Primary practice address
9440 E Ironwood Square Dr Scottsdale AZ 85258-4569
Phone: (480) 756-6000
Fax: (855) 636-8770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 2009-00624 North Carolina
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 2012-01926 North Carolina
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 58569 Arizona

Profile Details

NPI number 1740402007
LBN Legal business name Booker, Corenthian Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Aug 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740402007 NPPES
Arizona MEDICAID 552544

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