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Contact Information

MARK A BOOHER, MD
301 SATORI PKWY
SUITE 120
AVON, IN46123-6405
 Phone: 317-718-4263
 Fax: 317-272-7855
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARK A BOOHER · (Male)

NPI Number 1447245527
Status Active
Credentials MD
Entity Individual
Enumeration date 09/15/2005
Last updated 03/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01057723A
  • IN Medicaid 200453300
Hospital affiliation(s)
  • HENDRICKS REGIONAL HEALTH - (Acute Care)
    1000 E MAIN ST
    DANVILLE, IN 46122
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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