Booth, Allen Michael
Booth, Allen Michael is an individual health care provider with primary practice located at 310 N 10Th St , Bismarck ND 58501-4516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Booth, Allen Michael can be contacted via phone (701) 530-7500.Contact Information
Primary practice address
310 N 10Th St
Bismarck ND 58501-4516
Phone: (701) 530-7500
Fax: (701) 530-7484
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 5739 | North Dakota |
Profile Details
NPI number | 1568562098 |
---|---|
LBN Legal business name | Booth, Allen Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 24th, 2006 |
Last updated | Feb 28th, 2008 - about 17 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 | 1568562098 | NPPES |
North Dakota | Other | 1568562098 | NPI |
North Dakota | Other | P00207754 | NPI |
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