Glen Joseph Booth in Minneapolis - General Practice
Glen Joseph Booth - NPI 1083740393
Glen Joseph Booth is a General Practice in Minneapolis, Minnesota. Glen Joseph Booth practices all healthcare services and medical treatments related to General Practice. The NPI Number for Glen Joseph Booth is 1083740393. The last update date is 2007-07-08.
Glen Joseph Booth's current location address is 1089 25th Ave Se, Minneapolis, Minnesota. You can contact this provider via phone number 6123790212. The mailing address for Glen Joseph Booth is 1089 25th Ave Se, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Joseph Booth |
|---|---|
| Address | 1089 25th Ave Se, Minneapolis, Minnesota |
| Phone Number | 6123790212 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1083740393 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1089 25th Ave Se |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554142637 |
| Phone Number | 6123790212 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | B29991 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Glen Joseph Booth?
The Glen Joseph Booth has been issued the NPI (National Provider Identifier) 1083740393 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 Glen Joseph Booth's facilities are situated?
The facilities of Glen Joseph Booth are physically located at the following address: 1089 25Th Ave Se, Minneapolis, MN, 554142637.
What is the Glen Joseph Booth's specialty and taxonomy code?
The Glen Joseph Booth's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date did Glen Joseph Booth receive its 1083740393 assignment from the Centers for Medicare & Medicaid Services?
The Glen Joseph Booth was assigned its 1083740393 on 2007-02-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Glen Joseph Booth last refreshed?
The information related to the Glen Joseph Booth, including its address, specialty, and other relevant details, was last updated on 2007-07-08.