Booth, Bryan M
Booth, Bryan M is an individual health care provider with primary practice located at 74910 Aztec Rd , Palm Desert CA 92260-3101. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Booth, Bryan M can be contacted via phone (916) 880-8858.Contact Information
Primary practice address
74910 Aztec Rd
Palm Desert CA 92260-3101
Phone: (916) 880-8858
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2000026488 | California |
Profile Details
| NPI number | 1619487501 |
|---|---|
| LBN Legal business name | Booth, Bryan M |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2017 |
| Last updated | Oct 4th, 2017 - about 7 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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