Booth, Myrna Bautista
Booth, Myrna Bautista is an sole proprietor health care provider with primary practice located at 2837 Stable Dr Ste A , Kimball MI 48074-1441. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Booth, Myrna Bautista can be contacted via phone (810) 985-3301.Contact Information
Primary practice address
2837 Stable Dr Ste A
Kimball MI 48074-1441
Phone: (810) 985-3301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X |
Profile Details
| NPI number | 1427537695 |
|---|---|
| LBN Legal business name | Booth, Myrna Bautista |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2018 |
| Last updated | Aug 8th, 2018 - about 7 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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