Individual
DR. GERALD C BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
55741 NATIONAL RD, BRIDGEPORT, OH 43912-1528
(740) 633-9922
(740) 633-9924
Mailing address
55741 NATIONAL RD, BRIDGEPORT, OH 43912-1528
(740) 633-9922
(740) 633-9924
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2480
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013230100
—
WV
05
—
2019701
—
OH
Enumeration date
12/04/2006
Last updated
09/30/2024
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