Boothe, Jeanna Sewell
Boothe, Jeanna Sewell is an individual health care provider with primary practice located at 3825 Sullivan St Suite 2, Madison AL 35758-1740. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Boothe, Jeanna Sewell can be contacted via phone (256) 461-6376.Contact Information
Primary practice address
3825 Sullivan St Suite 2
Madison AL 35758-1740
Phone: (256) 461-6376
Fax: (256) 461-6334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 12550 | Alabama |
Profile Details
| NPI number | 1881635217 |
|---|---|
| LBN Legal business name | Boothe, Jeanna Sewell |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881635217 | NPPES |
| Alabama | Other | 12550 | STATE LICENSE NUMBER |
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