Boothman, Peter

Boothman, Peter is an sole proprietor health care provider with primary practice located at 1618 S Millenium Way Ste 100 , Meridian ID 83642-6457. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Boothman, Peter can be contacted via phone (208) 884-3376.

Contact Information

Primary practice address
1618 S Millenium Way Ste 100 Meridian ID 83642-6457
Phone: (208) 884-3376
Fax: (208) 884-0858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X M-17515 Idaho
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X MD.36224 Alabama

Profile Details

NPI number 1588018170
LBN Legal business name Boothman, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2016
Last updated Feb 15th, 2024 - about last year

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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