Booher, Joshua David

Booher, Joshua David is an individual health care provider with primary practice located at 501 Adessa Pkwy Ste A-150, Lenoir City TN 37771-6725. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Booher, Joshua David can be contacted via phone (865) 986-8082.

Contact Information

Primary practice address
501 Adessa Pkwy Ste A-150 Lenoir City TN 37771-6725
Phone: (865) 986-8082
Fax: (865) 986-5890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X P2549 Tennessee
Behavioral Health & Social Service Providers / School 103TS0200X 2549 (PROVISIONAL) Tennessee
Behavioral Health & Social Service Providers / School 103TS0200X Tennessee

Profile Details

NPI number 1154320596
LBN Legal business name Booher, Joshua David
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 26th, 2007 - about 19 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 1154320596 NPPES
Tennessee MEDICAID 3981432

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