Booker, John C

Booker, John C is an individual health care provider with primary practice located at 107 N Hall St , Visalia CA 93291-5850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Booker, John C can be contacted via phone (559) 625-9200.

Contact Information

Primary practice address
107 N Hall St Visalia CA 93291-5850
Phone: (559) 625-9200
Fax: (559) 625-4702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G49180 California

Profile Details

NPI number 1790769768
LBN Legal business name Booker, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jul 21st, 2022 - 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 1790769768 NPPES
California MEDICAID 00G491800

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