Booth, Dana

Booth, Dana is an individual health care provider with primary practice located at 4040 Memorial Pkwy Sw , Huntsville AL 35802-4364. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Booth, Dana can be contacted via phone (256) 533-1970.

Contact Information

Primary practice address
4040 Memorial Pkwy Sw Huntsville AL 35802-4364
Phone: (256) 533-1970
Fax: (256) 705-6477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1-113701 Alabama

Profile Details

NPI number 1639520703
LBN Legal business name Booth, Dana
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2016
Last updated Jun 29th, 2016 - about 10 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 1639520703 NPPES
Alabama MEDICAID 330000014

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