Booth, Grant Edward
Booth, Grant Edward is an individual health care provider with primary practice located at 1499 Lincoln Ave , Saint Paul MN 55105-2236. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Booth, Grant Edward can be contacted via phone (651) 690-1542.Contact Information
Primary practice address
1499 Lincoln Ave
Saint Paul MN 55105-2236
Phone: (651) 690-1542
Fax: (651) 690-1451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 10829 | Minnesota |
Profile Details
| NPI number | 1972504728 |
|---|---|
| LBN Legal business name | Booth, Grant Edward |
| Credentials | MSW, LICSW, ACSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| 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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