Booth, Douglas Martin

Booth, Douglas Martin is an individual health care provider with primary practice located at 1271 8Th Ave , Metlakatla AK 99926. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Booth, Douglas Martin can be contacted via phone (907) 886-6911.

Contact Information

Primary practice address
1271 8Th Ave Metlakatla AK 99926
Phone: (907) 886-6911
Fax: (907) 886-6917
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1346905999
LBN Legal business name Booth, Douglas Martin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2021
Last updated Apr 19th, 2022 - about 2 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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