Booth, Ryan Elston
Booth, Ryan Elston is an sole proprietor health care provider with primary practice located at 12635 W 143Rd St , Homer Glen IL 60491-8381. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Booth, Ryan Elston can be contacted via phone (708) 301-0005.Contact Information
Primary practice address
12635 W 143Rd St
Homer Glen IL 60491-8381
Phone: (708) 301-0005
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 021002799 | Illinois |
Profile Details
| NPI number | 1578036638 |
|---|---|
| LBN Legal business name | Booth, Ryan Elston |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2019 |
| Last updated | Jan 10th, 2019 - about 6 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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