Booth, Thomas D
Booth, Thomas D is an individual health care provider with primary practice located at 20 13Th St W , Havre MT 59501-5215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Booth, Thomas D can be contacted via phone (406) 265-7831.Contact Information
Primary practice address
20 13Th St W
Havre MT 59501-5215
Phone: (406) 265-7831
Fax: (406) 265-1651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4615 | Montana |
Profile Details
| NPI number | 1437121993 |
|---|---|
| LBN Legal business name | Booth, Thomas D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Nov 30th, 2009 - about 17 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 | 1437121993 | NPPES |
| Montana | MEDICAID | 0360893 | |
| Montana | Other | 000015430 | |
| Montana | Other | 080096623 |
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