Andrew D Booth in Grand Rapids - Physician Assistant

Andrew D Booth - NPI 1245343466

Andrew D Booth is a Physician Assistant in Grand Rapids, Michigan. Andrew D Booth practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Andrew D Booth is 1245343466. The last update date is 2007-07-08.

Andrew D Booth's current location address is 2332 Alpine Ave Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6163916220. The mailing address for Andrew D Booth is 2332 Alpine Ave Nw, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrew D Booth
Address 2332 Alpine Ave Nw, Grand Rapids, Michigan
Phone Number 6163916220
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1245343466
Provider Enumeration Date 2006-08-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2332 Alpine Ave Nw
City Grand Rapids
State Michigan (MI)
Post Code 495441955
Phone Number 6163916220
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5601003903
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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FAQs about Andrew D Booth

What is the unique identifier code issued to Andrew D Booth by the Centers for Medicare & Medicaid Services?

The Andrew D Booth has been assigned the NPI (National Provider Identifier) 1245343466. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Andrew D Booth is physically located?

The Andrew D Booth is situated at the following address: 2332 Alpine Ave Nw, Grand Rapids, MI 495441955.

What is Andrew D Booth's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Andrew D Booth is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

When did Andrew D Booth receive its 1245343466 assignment?

The Andrew D Booth was assigned its 1245343466 on 2006-08-15, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Andrew D Booth, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Andrew D Booth, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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