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Contact Information

BOOTH DERMATOLOGY GROUP, PC
12050 N MICHIGAN RD
ZIONSVILLE, IN46077-8782
 Phone: 317-848-2427
 Fax: 317-848-2434
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for BOOTH DERMATOLOGY GROUP PC · (Female)

NPI Number 1346220563
Status Active
Credentials
Entity Individual
Enumeration date 01/23/2006
Last updated 06/15/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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