Samuel Bjorn Booth
Samuel Bjorn Booth is a Student in an Organized Health Care Education/Training Program in Charleston, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
3200 Maccorkle Ave SECharleston, WV 25304-1227
Phone: (304) 388-4874
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1740976968 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 12, 2023 |
| Last updated in NPPES | April 12, 2023 |
| Certification date | April 12, 2023 |
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