John A Boothby is a Specialist in Portland, Maine. John A Boothby practices all healthcare services and medical treatments related to Specialist. The NPI Number for John A Boothby is 1457301467. The last update date is 2008-12-31.
John A Boothby's current location address is 222 Auburn Street, Portland, Maine. You can contact this provider via phone number 2078740100 and fax number 2078748035. The mailing address for John A Boothby is 222 Auburn Street, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
Provider Name | John A Boothby |
---|---|
Address | 222 Auburn Street, Portland, Maine |
Phone Number | 2078740100 |
Fax Number | 2078748035 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1457301467 |
---|---|
Provider Enumeration Date | 2006-05-11 |
Last Updated Date | 2008-12-31 |
Provider Mailing Address Detail
Address | 222 Auburn Street |
---|---|
City | Portland |
State | Maine (ME) |
Post Code | 4103 |
Phone Number | 2078740100 |
Fax Number | 2078748035 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
---|---|
Taxonomy | 174400000X |
Licence No | 6217 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
106100099 | ME | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John A Boothby by the Centers for Medicare & Medicaid Services?
The John A Boothby has been assigned the NPI (National Provider Identifier) 1457301467. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where John A Boothby is geographically located?
The John A Boothby is physically situated at the following location: 222 Auburn Street, Portland, ME, 4103.
What is John A Boothby's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John A Boothby is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the John A Boothby receive its 1457301467 assignment from the Centers for Medicare & Medicaid Services?
The John A Boothby was assigned its 1457301467 by the Centers for Medicare & Medicaid Services on 2006-05-11.
When was the information related to John A Boothby most recently updated or refreshed?
The details pertaining to the John A Boothby, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-12-31.