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
Fax: (701) 530-7484
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568562098 NPPES
North Dakota Other 1568562098 NPI
North Dakota Other P00207754 NPI

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