Boothman, Peter
Boothman, Peter is an sole proprietor health care provider with primary practice located at 1618 S Millenium Way Ste 100 , Meridian ID 83642-6457. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Boothman, Peter can be contacted via phone (208) 884-3376.Contact Information
Primary practice address
1618 S Millenium Way Ste 100
Meridian ID 83642-6457
Phone: (208) 884-3376
Fax: (208) 884-0858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | M-17515 | Idaho |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | MD.36224 | Alabama |
Profile Details
| NPI number | 1588018170 |
|---|---|
| LBN Legal business name | Boothman, Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2016 |
| Last updated | Feb 15th, 2024 - about 10 months 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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