Booth, Jason Andrew

Booth, Jason Andrew is an individual health care provider with primary practice located at 470 Chadbourne Rd Ste A , Fairfield CA 94534-9620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Booth, Jason Andrew can be contacted via phone (402) 250-2469.

Contact Information

Primary practice address
470 Chadbourne Rd Ste A Fairfield CA 94534-9620
Phone: (402) 250-2469
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27699 Nebraska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A130204 California

Profile Details

NPI number 1215236443
LBN Legal business name Booth, Jason Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2011
Last updated Aug 3rd, 2020 - about 6 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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