Booth, Candice Beth
Booth, Candice Beth is an individual health care provider with primary practice located at 3015 N Ballas Rd Dept Emergency Med, Saint Louis MO 63131-2329. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Booth, Candice Beth can be contacted via phone (314) 966-5000.Contact Information
Primary practice address
3015 N Ballas Rd Dept Emergency Med
Saint Louis MO 63131-2329
Phone: (314) 966-5000
Fax: (314) 747-3338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 2008006040 | Missouri |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2008006040 | Missouri |
Profile Details
| NPI number | 1851418883 |
|---|---|
| LBN Legal business name | Booth, Candice Beth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Apr 25th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851418883 | NPPES |
| Missouri | MEDICAID | 200017306 |
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