Booth, Jerry B
Booth, Jerry B is an individual health care provider with primary practice located at 683 Robinson Rd , Jackson MI 49203-1155. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Booth, Jerry B can be contacted via phone (517) 787-0417.Contact Information
Primary practice address
683 Robinson Rd
Jackson MI 49203-1155
Phone: (517) 787-0417
Fax: (517) 787-5536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | JB008016 | Michigan |
Profile Details
| NPI number | 1134224116 |
|---|---|
| LBN Legal business name | Booth, Jerry B |
| Credentials | D.D.S, M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Dec 23rd, 2021 - about 3 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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