Booth, Donna Grey
Booth, Donna Grey is an individual health care provider with primary practice located at 1209 York Rd Suite 200, Lutherville MD 21093-6207. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Booth, Donna Grey can be contacted via phone (410) 821-9490.Contact Information
Primary practice address
1209 York Rd Suite 200
Lutherville MD 21093-6207
Phone: (410) 821-9490
Fax: (410) 821-9495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0033879 | Maryland |
Profile Details
| NPI number | 1255339891 |
|---|---|
| LBN Legal business name | Booth, Donna Grey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Apr 11th, 2012 - 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 | 1255339891 | NPPES |
| Maryland | MEDICAID | 430371700 |
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