Booth, Richard

Booth, Richard is an individual health care provider with primary practice located at 1630 13Th Ave , Huntington WV 25701-3812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Booth, Richard can be contacted via phone (304) 697-2014.

Contact Information

Primary practice address
1630 13Th Ave Huntington WV 25701-3812
Phone: (304) 697-2014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 20669 West Virginia

Profile Details

NPI number 1083694970
LBN Legal business name Booth, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Nov 12th, 2020 - about 5 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 1083694970 NPPES
West Virginia Other P00058440 RR MEDICARE
West Virginia MEDICAID 64051667 RR MEDICARE
West Virginia Other 000000235271 RR MEDICARE
West Virginia MEDICAID 1083694970 RR MEDICARE
West Virginia Other 001709560 RR MEDICARE
West Virginia MEDICAID 2342138 RR MEDICARE

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