Booth, Sally A

Booth, Sally A is an individual health care provider with primary practice located at 12050 N Michigan Rd , Zionsville IN 46077-8782. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Booth, Sally A can be contacted via phone (317) 848-2427.

Contact Information

Primary practice address
12050 N Michigan Rd Zionsville IN 46077-8782
Phone: (317) 848-2427
Fax: (317) 848-2434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME142799 Florida
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 01042816A Indiana
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 01042816A Indiana
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01042816A Indiana

Profile Details

NPI number 1669452884
LBN Legal business name Booth, Sally A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jan 26th, 2021 - about 3 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 1669452884 NPPES
Indiana Other 000000375169 ANTHEM PIN

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