Booth, Colin Douglas

Booth, Colin Douglas is an individual health care provider with primary practice located at 9430 Park West Blvd Ste 130 , Knoxville TN 37923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Booth, Colin Douglas can be contacted via phone (865) 690-4861.

Contact Information

Primary practice address
9430 Park West Blvd Ste 130 Knoxville TN 37923
Phone: (865) 690-4861
Fax: (865) 560-8525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 55760 Tennessee

Profile Details

NPI number 1023306057
LBN Legal business name Booth, Colin Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2011
Last updated Oct 17th, 2023 - about last year

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 1023306057 NPPES
Tennessee MEDICAID Q029240

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