Katelyn Jean Booher
Internist Infectious Disease
1222 S Patterson Blvd Ste 220
Dayton
, Ohio 45402-2684
Katelyn Jean Booher
Internist Infectious Disease
1222 S Patterson Blvd Ste 220
Dayton
, Ohio 45402-2684
(937) 245-7999
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About
Features
Specialties
- Internist
- Infectious Disease
Languages spoken
- English
Location
First Address
- Katelyn Jean Booher
- 725 University Blvd
- Dayton, OH
- Zip : 45435-0001
- Fax : (937) 245-7999
- Phone : (937) 245-7100
Second Address
- Katelyn Jean Booher
- 1222 S Patterson Blvd Ste 220
- Dayton, OH
- Zip : 45402-2684
- Fax : (937) 224-3112
- Phone : (937) 223-5350
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 35-011518 | OH |
| N | 111NI0900X | Internist | 35-011518 | OH |
| Y | 207RI0200X | Infectious Disease | 35-011518 | OH |
National Provider Identifier
| NPI | 1063736056 |
|---|---|
| Provider Name | Katelyn Jean Booher |
| First Address | Dayton, OH 45435-0001 |
| Second Address | Dayton, OH 45402-2684 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/03/2010 |
| Last Update Date | 29/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0121909 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.