<Unavail>

LBN: Booth & Company, Inc.
<Unavail> is an health care organization with primary practice located at 9329 Illinois Rd , Fort Wayne IN 46804-5796. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Booth & Company, Inc. can be contacted via phone (260) 755-5896, or through Booth, Spencer Jenkins via phone (260) 417-4885.

Contact Information

Primary practice address
9329 Illinois Rd Fort Wayne IN 46804-5796
Phone: (260) 755-5896
Fax: (260) 755-5927
Website:
Map and Directions
Authorized official contact:
Name: Booth, Spencer Jenkins PSY.D., HSPP
Phone: (260) 417-4885

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041340A Indiana

Profile Details

NPI number 1679694327
LBN Legal business name Booth & Company, Inc.
DBA Doing business as <Unavail>
Authorized official Booth, Spencer Jenkins PSY.D., HSPP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Oct 1st, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679694327 NPPES
Indiana MEDICAID 200311450

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