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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

NPI # 1346220563
LBN Legal business name BOOTH DERMATOLOGY GROUP, PC
Authorized official SALLY BOOTH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2006
Last updated 06/15/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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