National Provider Identifier Database

CHANTALA BOOTH
School


Contact Information

CHANTALA BOOTH
2422 STATE HIGHWAY 333
MORIARTY, NM87035
Phone: 505-274-3354
Fax:
Website:
Specialty Taxonomy Code
* School 163WS0200X

* Indicates primary specialty

NPI Profile & details for CHANTALA BOOTH

NPI Number 1043045636
Credentials
Entity Individual
Enumeration date 09/04/2024
Last updated 09/04/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • NM License #: RN-82148
Hospital affiliation n/a

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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