Wainscoat, Booth

Wainscoat, Booth is an individual health care provider with primary practice located at 761 Main Ave , Norwalk CT 06851-1080. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Wainscoat, Booth can be contacted via phone (203) 852-2280.

Contact Information

Primary practice address
761 Main Ave Norwalk CT 06851-1080
Phone: (203) 852-2280
Fax: (203) 899-5028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 41776 Connecticut
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 041776 Connecticut

Profile Details

NPI number 1699707141
LBN Legal business name Wainscoat, Booth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 14th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699707141 NPPES
Connecticut MEDICAID 001417765

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