Booten, Peggy Jo
Booten, Peggy Jo is an sole proprietor health care provider with primary practice located at 402 - 4Th Street , West Point IA 52656. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Booten, Peggy Jo can be contacted via phone (319) 837-8181.Contact Information
Primary practice address
402 - 4Th Street
West Point IA 52656
Phone: (319) 837-8181
Fax: (319) 372-8688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 06588 | Iowa |
Profile Details
| NPI number | 1760481550 |
|---|---|
| LBN Legal business name | Booten, Peggy Jo |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Jan 15th, 2013 - about 12 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 | 1760481550 | NPPES |
| Other | 38637 | BCBS | |
| MEDICAID | 0455261 | BCBS |
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