Individual
DR. MARC ALAN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 E COOLSPRING AVE STE 1-B, MICHIGAN CITY, IN 46360-6312
(219) 879-6531
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01061093A
IN
207W00000X
Ophthalmology Physician
2023-00058
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200527370
—
IN
Enumeration date
11/18/2005
Last updated
02/13/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us