Booth, Barry E

Booth, Barry E is an individual health care provider with primary practice located at 12635 W 143Rd St , Homer Glen IL 60491-8381. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Booth, Barry E can be contacted via phone (708) 301-0005.

Contact Information

Primary practice address
12635 W 143Rd St Homer Glen IL 60491-8381
Phone: (708) 301-0005
Fax: (708) 301-0063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X Illinois

Profile Details

NPI number 1770629065
LBN Legal business name Booth, Barry E
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 18 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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