Booker, Varanise Colbert

Booker, Varanise Colbert is an sole proprietor health care provider with primary practice located at 302 E Breckinridge St , Louisville KY 40203-2328. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Booker, Varanise Colbert can be contacted via phone (502) 777-7708.

Contact Information

Primary practice address
302 E Breckinridge St Louisville KY 40203-2328
Phone: (502) 777-7708
Fax: (502) 561-1113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 33923 Kentucky
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 33923 Kentucky

Profile Details

NPI number 1841332012
LBN Legal business name Booker, Varanise Colbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Dec 28th, 2010 - about 16 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 1841332012 NPPES
Kentucky MEDICAID 64053523

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