Booth, Cassie Lee

Booth, Cassie Lee is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Booth, Cassie Lee can be contacted via phone (417) 820-2961.

Contact Information

Primary practice address
1235 E Cherokee St Springfield MO 65804-2203
Phone: (417) 820-2961
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 106898 Minnesota
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 56816 Minnesota
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 2016008383 Missouri

Profile Details

NPI number 1154594976
LBN Legal business name Booth, Cassie Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2008
Last updated Jun 16th, 2016 - about 9 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 1154594976 NPPES
Oklahoma MEDICAID PENDING
Oklahoma MEDICAID PENDING
Oklahoma MEDICAID PENDING

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