Booth, Cynthia D
Booth, Cynthia D is an individual health care provider with primary practice located at 120 E Main St , Payson AZ 85541-5618. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Booth, Cynthia D can be contacted via phone (928) 474-9744.Contact Information
Primary practice address
120 E Main St
Payson AZ 85541-5618
Phone: (928) 474-9744
Fax: (928) 474-9766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | AZ27365 | Arizona |
Profile Details
| NPI number | 1215938022 |
|---|---|
| LBN Legal business name | Booth, Cynthia D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Aug 7th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215938022 | NPPES |
| Arizona | MEDICAID | 483529-02 |
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