Sally A Booth in Zionsville - Mohs-micrographic Surgery

Sally A Booth - NPI 1669452884

Sally A Booth is a Mohs-micrographic Surgery in Zionsville, Indiana. Sally A Booth practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Sally A Booth is 1669452884. The last update date is 2021-01-26.

Sally A Booth's current location address is 12050 N Michigan Rd, Zionsville, Indiana. You can contact this provider via phone number 3178482427 and fax number 3178482434. The mailing address for Sally A Booth is 12050 N Michigan Rd, Zionsville, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Sally A Booth
Address 12050 N Michigan Rd, Zionsville, Indiana
Phone Number 3178482427
Fax Number 3178482434
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1669452884
Provider Enumeration Date 2006-01-23
Last Updated Date 2021-01-26

Provider Mailing Address Detail

Address 12050 N Michigan Rd
City Zionsville
State Indiana (IN)
Post Code 460778782
Phone Number 3178482427
Fax Number 3178482434

Provider's Primary Taxonomy Detail

Speciality Mohs-micrographic Surgery
Taxonomy 207Nd0101X
Licence No 01042816A
Definition:
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
375169 IN ANTHEM PIN

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FAQs about Sally A Booth

What is the unique provider identifier assigned to Sally A Booth?

The Sally A Booth has been issued the NPI (National Provider Identifier) 1669452884 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Sally A Booth's facilities are situated?

The facilities of Sally A Booth are physically located at the following address: 12050 N Michigan Rd, Zionsville, IN, 460778782.

What is Sally A Booth's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Sally A Booth is Mohs-micrographic Surgery, and the corresponding taxonomy classification code for this specialized field is 207Nd0101X.

On what date was the 1669452884 assigned to Sally A Booth?

The Sally A Booth was issued its 1669452884 on 2006-01-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Sally A Booth, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Sally A Booth, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-01-26.

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