Booher, John W

Booher, John W is an individual health care provider with primary practice located at 1100 Ne 45Th St Suite 102, Oakland Park FL 33334-3814. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Booher, John W can be contacted via phone (954) 629-0250.

Contact Information

Primary practice address
1100 Ne 45Th St Suite 102 Oakland Park FL 33334-3814
Phone: (954) 629-0250
Fax: (866) 240-3482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102244 Florida

Profile Details

NPI number 1588627913
LBN Legal business name Booher, John W
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jun 2nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588627913 NPPES
Florida Other Y04T2 BC BS FL
Florida MEDICAID 291430100 BC BS FL

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