Booth, Richard Rawson
Booth, Richard Rawson is an sole proprietor health care provider with primary practice located at 2001 S. Shields Street, Bldg G , Fort Collins CO 80526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Booth, Richard Rawson can be contacted via phone (970) 484-4871.Contact Information
Primary practice address
2001 S. Shields Street, Bldg G
Fort Collins CO 80526
Phone: (970) 484-4871
Fax: (970) 482-4927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 19363 | Colorado |
Profile Details
| NPI number | 1164518783 |
|---|---|
| LBN Legal business name | Booth, Richard Rawson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164518783 | NPPES |
| Colorado | MEDICAID | 04023743 |
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