Booth, Samantha

Booth, Samantha is an sole proprietor health care provider with primary practice located at 800 Scenic Dr , Modesto CA 95350-6131. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Booth, Samantha can be contacted via phone (209) 380-9917.

Contact Information

Primary practice address
800 Scenic Dr Modesto CA 95350-6131
Phone: (209) 380-9917
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X California

Profile Details

NPI number 1215610670
LBN Legal business name Booth, Samantha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2023
Last updated Aug 31st, 2023 - about 2 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.

Request for update

Popular Providers