Booth, Thomas D

Booth, Thomas D is an individual health care provider with primary practice located at 20 13Th St W , Havre MT 59501-5215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Booth, Thomas D can be contacted via phone (406) 265-7831.

Contact Information

Primary practice address
20 13Th St W Havre MT 59501-5215
Phone: (406) 265-7831
Fax: (406) 265-1651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4615 Montana

Profile Details

NPI number 1437121993
LBN Legal business name Booth, Thomas D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Nov 30th, 2009 - about 15 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 1437121993 NPPES
Montana MEDICAID 0360893
Montana Other 000015430
Montana Other 080096623

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