Booker, Mark W

Booker, Mark W is an individual health care provider with primary practice located at 1900 23Rd St , Cuyahoga Falls OH 44223-1404. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Booker, Mark W can be contacted via phone (330) 971-7123.

Contact Information

Primary practice address
1900 23Rd St Cuyahoga Falls OH 44223-1404
Phone: (330) 971-7123
Fax: (330) 971-7119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN.CRNA.0020130 Ohio

Profile Details

NPI number 1518360866
LBN Legal business name Booker, Mark W
Credentials RN, CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2014
Last updated Feb 9th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518360866 NPPES
Ohio MEDICAID 0111822

Popular Providers