Booth, William D

Booth, William D is an individual health care provider with primary practice located at 2400 Hospital Rd Pain Clinic (117), Tuskegee AL 36083-5001. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Booth, William D can be contacted via phone (334) 727-0550.

Contact Information

Primary practice address
2400 Hospital Rd Pain Clinic (117) Tuskegee AL 36083-5001
Phone: (334) 727-0550
Fax: (334) 725-3074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 778 Alabama

Profile Details

NPI number 1801907761
LBN Legal business name Booth, William D
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 30th, 2010 - about 16 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 1801907761 NPPES
Alabama Other 778 STATE PSYCHOOGIST LISCENS

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