Booth, Deborah A

Booth, Deborah A is an individual health care provider with primary practice located at 1265 N Milford Rd Milford Family Practice, Milford MI 48381. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Booth, Deborah A can be contacted via phone (248) 685-3600.

Contact Information

Primary practice address
1265 N Milford Rd Milford Family Practice Milford MI 48381
Phone: (248) 685-3600
Fax: (248) 685-0057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DB009023 Michigan

Profile Details

NPI number 1083689186
LBN Legal business name Booth, Deborah A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Apr 4th, 2008 - about 17 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 1083689186 NPPES
Michigan MEDICAID OM91890002

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