Booth, Mary Ann

Booth, Mary Ann is an individual health care provider with primary practice located at 1104 Healthway Dr , Salisbury MD 21804-4469. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Booth, Mary Ann can be contacted via phone (410) 219-5483.

Contact Information

Primary practice address
1104 Healthway Dr Salisbury MD 21804-4469
Phone: (410) 219-5483
Fax: (410) 219-5486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X D0068849 Maryland

Profile Details

NPI number 1235268012
LBN Legal business name Booth, Mary Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Nov 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235268012 NPPES
Maryland MEDICAID 119591300

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