Bootz, Shirley

Bootz, Shirley is an individual health care provider with primary practice located at 220 Dean Johnson Blvd , South Bend IN 46601-3415. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bootz, Shirley can be contacted via phone (574) 289-7001.

Contact Information

Primary practice address
220 Dean Johnson Blvd South Bend IN 46601-3415
Phone: (574) 289-7001
Fax: (574) 236-7166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 13004216A Indiana

Profile Details

NPI number 1790444248
LBN Legal business name Bootz, Shirley
Credentials LDH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2021
Last updated Dec 13th, 2021 - about 4 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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