Mark A Booth is a Family Medicine in Homer, Michigan. Mark A Booth practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark A Booth is 1518922863. The last update date is 2014-12-05.
Mark A Booth's current location address is 420 S Hillsdale St, Homer, Michigan. You can contact this provider via phone number 5175684481 and fax number 5175683720. The mailing address for Mark A Booth is 420 S Hillsdale St, Homer, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A Booth |
|---|---|
| Address | 420 S Hillsdale St, Homer, Michigan |
| Phone Number | 5175684481 |
| Fax Number | 5175683720 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1518922863 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2014-12-05 |
Provider Mailing Address Detail
| Address | 420 S Hillsdale St |
|---|---|
| City | Homer |
| State | Michigan (MI) |
| Post Code | 492451248 |
| Phone Number | 5175684481 |
| Fax Number | 5175683720 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4301043850 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80157041 | MI | RAILROAD MEDICARE | |
| 080A360590 | MI | BLUE CROSS BLUE SHIELD | |
| 103118050 | MI | -- | |
| DA0352 | MI | RAILROAD MEDICARE GROUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark A Booth by the Centers for Medicare & Medicaid Services?
The Mark A Booth has been issued the NPI (National Provider Identifier) 1518922863 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mark A Booth?
The Mark A Booth is physically situated at 420 S Hillsdale St, in the city of Homer, state of MI, with the postal code 492451248.
What is Mark A Booth's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark A Booth is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When did the Mark A Booth receive its 1518922863?
The Mark A Booth was issued its 1518922863 on 2006-04-19, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Mark A Booth most recently updated or revised?
The information pertaining to Mark A Booth, including its address, specialty, and other relevant details, was last updated or revised on 2014-12-05.