Bookert, Ritha G

Bookert, Ritha G is an individual health care provider with primary practice located at 100 Vine Drive , Brandon MS 39047-9113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bookert, Ritha G can be contacted via phone (601) 829-3940.

Contact Information

Primary practice address
100 Vine Drive Brandon MS 39047-9113
Phone: (601) 829-3940
Fax: (601) 829-3941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R851704 Mississippi

Profile Details

NPI number 1558559823
LBN Legal business name Bookert, Ritha G
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated Apr 25th, 2019 - about 6 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 1558559823 NPPES
Mississippi MEDICAID 01786739

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