Search › Indiana › 124Q00000X
Shirley Bootz, LDH
NPI 1790444248 · on the registry since 2021
Practice
- Address
- 220 Dean Johnson Blvd
South Bend, IN 46601 - Phone
- (574) 289-7001
- Fax
- (574) 236-7166
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana