Booker, Edward A

Booker, Edward A is an sole proprietor health care provider with primary practice located at 1740 Willard Ave Se , Grand Rapids MI 49507-2662. He recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as his primary health care specialty. Booker, Edward A can be contacted via phone (616) 886-6917.

Contact Information

Primary practice address
1740 Willard Ave Se Grand Rapids MI 49507-2662
Phone: (616) 886-6917
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 410376 Michigan

Profile Details

NPI number 1588918841
LBN Legal business name Booker, Edward A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2012
Last updated Nov 7th, 2012 - about 12 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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