Boothby, Joan

Boothby, Joan is an sole proprietor health care provider with primary practice located at 1234 Foothill Blvd , La Verne CA 91750-3329. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Boothby, Joan can be contacted via phone (909) 596-4879.

Contact Information

Primary practice address
1234 Foothill Blvd La Verne CA 91750-3329
Phone: (909) 596-4879
Fax: (909) 596-9199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X

Profile Details

NPI number 1649724865
LBN Legal business name Boothby, Joan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2016
Last updated Aug 4th, 2016 - about 9 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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