Carolyn M. Booth in East Saint Louis - Physician Assistant
Carolyn M. Booth - NPI 1033275631
Carolyn M. Booth is a Physician Assistant in East Saint Louis, Illinois. Carolyn M. Booth practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Carolyn M. Booth is 1033275631. The last update date is 2007-07-08.
Carolyn M. Booth's current location address is 6000 Bond Ave, East Saint Louis, Illinois. You can contact this provider via phone number 6183322740 and fax number 6183328755. The mailing address for Carolyn M. Booth is 6000 Bond Ave, East Saint Louis, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn M. Booth |
|---|---|
| Address | 6000 Bond Ave, East Saint Louis, Illinois |
| Phone Number | 6183322740 |
| Fax Number | 6183328755 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1033275631 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6000 Bond Ave |
|---|---|
| City | East Saint Louis |
| State | Illinois (IL) |
| Post Code | 622072328 |
| Phone Number | 6183322740 |
| Fax Number | 6183328755 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identifier code issued to Carolyn M. Booth by the Centers for Medicare & Medicaid Services (CMS)?
The Carolyn M. Booth has been assigned the NPI (National Provider Identifier) 1033275631. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Carolyn M. Booth is geographically located?
The Carolyn M. Booth is physically situated at the following location: 6000 Bond Ave, East Saint Louis, IL, 622072328.
What is the area of specialization for Carolyn M. Booth, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Carolyn M. Booth is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Carolyn M. Booth receive its 1033275631 assignment from the Centers for Medicare & Medicaid Services?
The Carolyn M. Booth was assigned its 1033275631 by the Centers for Medicare & Medicaid Services on 2006-12-28.
As of what date were the details related to Carolyn M. Booth most recently updated or revised?
The information pertaining to Carolyn M. Booth, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC