Booth, Gordon A

Booth, Gordon A is an individual health care provider with primary practice located at 740 Nordahl Rd #117, San Marcos CA 92069-3543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Booth, Gordon A can be contacted via phone (615) 778-4066.

Contact Information

Primary practice address
740 Nordahl Rd #117 San Marcos CA 92069-3543
Phone: (615) 778-4066
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X G28665 California

Profile Details

NPI number 1972628071
LBN Legal business name Booth, Gordon A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Oct 7th, 2009 - about 15 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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