Booth, Dwayne Andrew
Booth, Dwayne Andrew is an individual health care provider with primary practice located at 238 Railway Plaza , Riverton WY 82501. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Booth, Dwayne Andrew can be contacted via phone (307) 856-3610.Contact Information
Primary practice address
238 Railway Plaza
Riverton WY 82501
Phone: (307) 856-3610
Fax: (307) 856-5044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 108 | Wyoming |
Profile Details
| NPI number | 1427110022 |
|---|---|
| LBN Legal business name | Booth, Dwayne Andrew |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 8th, 2007 - 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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